Individual
MS. DEANGELA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2638 SAN RAFAEL PL, SAINT LOUIS, MO 63114-5135
(314) 265-1221
Mailing address
2638 SAN RAFAEL PL, SAINT LOUIS, MO 63114-5135
(314) 265-1221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2001006601
MO
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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