NPI 1487239448

Juanita Bracken

Practitioner Chore Provider Florissant, MO

Practice location

Address: 12970 Whitecliff CT, Florissant, MO 63033-4048
Phone: (314) 319-8762

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X

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Registry record

NPI: 1487239448
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2021
Record last updated: 11 Mar 2021

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.