SearchMissouri310400000X

Shonta Clark

NPI 1326400888 · on the registry since 2016 · sole proprietor

Practice

Address
325 Rose Ln
Saint Louis, MO 63122
Phone
(314) 686-8444

Registry record

Primary taxonomy
310400000X
310400000X
Sex
Female
Record last updated
2016-03-24

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