Individual
DECIA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11133 DUNN RD # ICU, SAINT LOUIS, MO 63136-6163
(314) 653-5018
Mailing address
11133 DUNN RD # ICU, SAINT LOUIS, MO 63136-6163
(314) 653-5018
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2012007089
MO
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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