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Search › Missouri › 376G00000X

Samantha Donovan

NPI 1689027278 · on the registry since 2016

Practice

Address
4385 Maryland Ave
Saint Louis, MO 63108
Phone
(504) 896-2345
Organisation at this address
Interfaith Residence
Ssm Home Care Private Duty
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
376G00000X
376G00000X
Also registered as
101Y00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-24

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