Individual
SEAN EATHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7435 WATSON RD, SAINT LOUIS, MO 63119-4403
(314) 961-8180
Mailing address
6875 FOXCROFT DR, SAINT LOUIS, MO 63123-1635
(314) 832-1246
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
2002016173
MO
Other
Enumeration date
12/23/2012
Last updated
12/23/2012
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