NPI 1053969139

Shermaine Cierra Church

Practitioner Driver Saint Ann, MO

Practice location

Address: 3469 Saint Mark Ln, Saint Ann, MO 63074-2909
Phone: (314) 201-7661

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence W137166001 (MO)

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Registry record

NPI: 1053969139
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2019
Record last updated: 31 Aug 2019

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.