Individual
NICOLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9708 BALBOA DR, SAINT LOUIS, MO 63136-3038
(314) 792-5227
(314) 388-3092
Mailing address
9708 BALBOA DR, SAINT LOUIS, MO 63136-3038
(314) 792-5227
(314) 388-3092
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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