Individual
SHALEE BUENEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000
Mailing address
1587 RATHFORD DR, SAINT LOUIS, MO 63146-3908
(314) 277-6773
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2019025504
MO
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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