Individual
MS. ERAL NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
7271 LYNDOVER PL, #10, MAPLEWOOD, MO 63143-2331
(618) 771-1083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2009005673
MO
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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