Individual
JACQUELYN C SCHNIDMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4217 BAYLESS AVE, SAINT LOUIS, MO 63123-7513
(314) 638-7330
(314) 638-3614
Mailing address
4217 BAYLESS AVE, SAINT LOUIS, MO 63123-7513
(314) 638-7330
(314) 638-3614
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9A43
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201779402
—
MO
Enumeration date
09/07/2005
Last updated
07/08/2007
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