Individual
CHERIE GHOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8921 EDNA ST, SAINT LOUIS, MO 63147-1713
(314) 482-4641
Mailing address
8921 EDNA ST, SAINT LOUIS, MO 63147-1713
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
139161
MO
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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