Individual
MS. SHANAYE NICOLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4422 SEXAUER AVE, SAINT LOUIS, MO 63115-2213
(314) 218-5335
Mailing address
184 HIGH ST FL 5, BOSTON, MA 02110-3001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2014042548
MO
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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