Individual
TYRA SHARI WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
911 LOCUST ST APT 405, SAINT LOUIS, MO 63101-1446
(618) 531-0691
Mailing address
911 LOCUST ST APT 405, SAINT LOUIS, MO 63101-1446
(618) 531-0691
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2009028351
MO
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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