Individual
MS. LATONYA FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4952 BEACON AVE, SAINT LOUIS, MO 63120-2210
(314) 368-8995
Mailing address
PO BOX 7641, SAINT LOUIS, MO 63106-0641
(314) 368-8995
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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