NPI 1053781443

Vanessa Williams

Practitioner Adult Care Home Facility Saint Louis, MO

Practice location

Address: 5757 Park Ln, Saint Louis, MO 63147-1019
Phone: (314) 498-8539

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1053781443
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2015
Record last updated: 29 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.