Individual
MACKENZIE SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14561 N OUTER 40 RD, CHESTERFIELD, MO 63017-5703
(636) 235-8587
Mailing address
1289 HIGHWAY D, FORISTELL, MO 63348-2121
(636) 235-8587
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012027364
MO
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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