AIREAL SHASAUNDAI BISHOP

BRIDGETON, MO
NPI1114594736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MO  2020041038)
Enumeration Date2021-06-10
Last Update Date2023-02-23
Business Address
AIREAL SHASAUNDAI BISHOP Np
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-467-8506
Mailing Address
AIREAL SHASAUNDAI BISHOP Np
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-467-8506