Individual
SHERMILA MARIE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9645 LILLY JEAN DR, SAINT LOUIS, MO 63134-4236
(314) 276-9225
Mailing address
9645 LILLY JEAN DR, SAINT LOUIS, MO 63134-4236
(314) 276-9225
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012034847
MO
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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