Individual
CHRISTINE MARIE MAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
ST CLAIR COUNTY VA CLINIC, 1190 FORTUNE BLVD, SHILOH, IL 62269-7358
(314) 286-6988
(314) 289-7660
Mailing address
ST CLAIR COUNTY VA CLINIC, 1190 FORTUNE BLVD, SHILOH, IL 62269-7358
(314) 286-6988
(314) 289-7660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
113820
MO
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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