Organization
IMAGINE U WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KONNISHA DENISE LOCKETT LPN (DIRECT MANAGER)
(314) 850-7241
Entity
Organization
Contact information
Practice address
6427 JESSE JACKSON AVE, SAINT LOUIS, MO 63121-5704
(314) 850-7241
Mailing address
6427 JESSE JACKSON AVE, SAINT LOUIS, MO 63121-5704
(314) 850-7241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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