Individual
SHANIQUA DENISE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 SAINT FERDINAND AVE UNIT C, SAINT LOUIS, MO 63113-3242
(314) 285-9132
Mailing address
4020 SAINT FERDINAND AVE UNIT C, SAINT LOUIS, MO 63113-3242
(314) 285-9132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09172008
—
MO
Enumeration date
05/16/2020
Last updated
05/17/2020
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