Individual
ELDINA MEHANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 S LACLEDE STATION RD, SAINT LOUIS, MO 63119-4911
(314) 968-5570
Mailing address
723 S LACLEDE STATION RD, SAINT LOUIS, MO 63119-4911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20183683
MO
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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