Individual
AKILAH PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11875 NERO DR, FLORISSANT, MO 63033-6913
(314) 921-1109
(314) 921-1266
Mailing address
11875 NERO DR, FLORISSANT, MO 63033-6913
(314) 921-1109
(314) 921-1266
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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