Individual
VANESSA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5757 PARK LN, SAINT LOUIS, MO 63147-1019
(314) 498-8539
Mailing address
5757 PARK LN, SAINT LOUIS, MO 63147-1019
(314) 498-8539
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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