Individual
CASSANDRA LARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 WASHINGTON AVE, SAINT LOUIS, MO 63103-1936
(618) 799-5906
Mailing address
1409 WASHINGTON AVE, SAINT LOUIS, MO 63103-1936
(618) 799-5906
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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