Individual
ANITA M NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 SOLWAY AVE, SAINT LOUIS, MO 63136-1540
(314) 616-0224
Mailing address
2619 SOLWAY AVE, SAINT LOUIS, MO 63136-1540
(314) 616-0224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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