SAMANTHA CHARLETTA MCCOY

SAINT LOUIS, MO
NPI1053943522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2006011721)
Enumeration Date2020-02-12
Last Update Date2020-02-12
Business Address
Ms. SAMANTHA CHARLETTA MCCOY LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
Mailing Address
Ms. SAMANTHA CHARLETTA MCCOY LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820