Individual
KEISHA L WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3431 BRIDGELAND DR, BRIDGETON, MO 63044-2647
(314) 914-3034
(314) 464-0331
Mailing address
3431 BRIDGELAND DR, BRIDGETON, MO 63044-2647
(314) 914-3034
(314) 464-0331
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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