Individual
ANTIONETTE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 TURNBERRY PL, SAINT PETERS, MO 63376-4449
(314) 856-2872
Mailing address
130 TURNBERRY PL, SAINT PETERS, MO 63376-4449
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2008016172
MO
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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