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Individual

AMELIA MCCAIN WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
15655 91ST AVE, FLORISSANT, MO 63034-2148
(314) 830-2674
Mailing address
15655 91ST AVE, FLORISSANT, MO 63034-2148
(314) 830-2674

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
02057215
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028159
AANA
Enumeration date
05/05/2006
Last updated
07/08/2007
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