Whalio Doctors

NPI 1124172655

Sheryl Ladonna Matlock

Practitioner Licensed Practical Nurse St Louis, MO

Practice location

Address
5471 Dr Martin Luther King Drive, St Louis, MO 63112-4265
Phone
(314) 367-5820
Fax
(314) 367-7010

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 2000149166 (MO)

Registry record

NPI
1124172655
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jan 2007
Record last updated
8 Jul 2007

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.