Individual
MISS SHERRY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 S GRAND BLVD, SAINT LOUIS, MO 63111-1805
(131) 449-3405
(314) 480-7155
Mailing address
5411 S GRAND BLVD, SAINT LOUIS, MO 63111-1805
(131) 449-3405
(314) 480-7155
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F200359001
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844157164
—
MO
Enumeration date
01/11/2022
Last updated
01/11/2022
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