SearchMissouri253Z00000X

Devious Shannon

NPI 1164237731 · on the registry since 2025 · sole proprietor

Practice

Address
31 Bascom Dr
Saint Louis, MO 63135
Phone
(314) 680-4612

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Sex
Female
Record last updated
2025-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri