Samantha Shanks, LPN | |
224 N Highway 67 St, Suite 231, Florissant, MO 63031-5904 | |
(636) 344-9357 | |
Not Available |
Full Name | Samantha Shanks |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 224 N Highway 67 St, Florissant, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972040954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 2007029968 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Samantha Shanks, LPN 224 N Highway 67 St, Suite 231, Florissant, MO 63031-5904 Ph: (636) 344-9357 | Samantha Shanks, LPN 224 N Highway 67 St, Suite 231, Florissant, MO 63031-5904 Ph: (636) 344-9357 |
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