Individual
LAVARRA M GUYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 S TUCKER BLVD, SAINT LOUIS, MO 63104-3427
(314) 441-8070
Mailing address
1712 S TUCKER BLVD, SAINT LOUIS, MO 63104-3427
(314) 441-8070
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
11/13/2022
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