KESHIA S BOHANON

SAINT LOUIS, MO
NPI1780014340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2009032069)
Enumeration Date2013-11-19
Last Update Date2013-11-19
Business Address
Mrs. KESHIA S BOHANON LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
Mailing Address
Mrs. KESHIA S BOHANON LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820