Individual
DELORES VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RIDGELAWN CT, FLORISSANT, MO 63031-7023
(314) 917-0911
Mailing address
2634 SIMS AVE, SAINT LOUIS, MO 63114-3130
(314) 493-6408
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2021040777
MO
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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