Individual
MARY ENYONAM ANYIMADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3874 ALBERS PLACE CT, FLORISSANT, MO 63034-1055
(484) 264-9296
Mailing address
3874 ALBERS PLACE CT, FLORISSANT, MO 63034-1055
(484) 264-9296
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2018033943
MO
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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