EBONY BOW
Individual Provider (NPI-1)
Active
Nurse's Aide
Provider Information
- NPI Number
1700648672- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5414 VERA AVE, SAINT LOUIS, MO, 631152232
- Phone
- (314) 255-8445
Specialties & Taxonomies
Nurse's Aide
Primary License: MO #115755