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Individual

MISS SHAUNTRICE BUMPERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
(636) 485-1173
Mailing address
2845 VETERAN MEMORIAL PKWY, SAINT CHARLES, MO 63301
(636) 485-1173

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2018030437
MO
171W00000X
Contractor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2018030437
REGISTERED NURSE
MO
Enumeration date
01/17/2008
Last updated
02/02/2024
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