Jayla Wanita Monroe LPN

NPI 1063756104 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1063756104
Gender Female
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS MO, 63112-4265, US
Phone (314) 367-5820
Fax (314) 367-6326
Business Location
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS MO, 63112-4265, US
Phone (314) 367-5820
Fax (314) 367-6326
Toxanomy
Taxonomy Code 164W00000X
License State Missouri
License Number 2011034322
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According to our database, Ms. Jayla Wanita Monroe LPN NPI is 1063756104, taxonomy code is 164W00000X and license number is 2011034322, license state is located at Missouri. Jayla Wanita Monroe LPN physically located at 5471 Dr Martin Luther King Dr, Saint Louis MO, 63112-4265. NPI Number Jayla Wanita Monroe LPN has the Individual type.

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1063756104 NPI number is provided on an as is basis without warranty of any kind. 1063756104 is maintained by the National Plan & Provider Enumeration System. The contents of Jayla Wanita Monroe LPN are for informational purposes only.