Individual
KAMISHA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 N WARSON RD STE 229, SAINT LOUIS, MO 63132-1109
(314) 600-5633
Mailing address
9997 CODDINGTON WAY, SAINT LOUIS, MO 63132-2903
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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