Individual
MARISSA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2870 NETHERTON DR, STE 103, SAINT LOUIS, MO 63136-4649
(314) 339-0061
Mailing address
2870 NETHERTON DR, STE 103, SAINT LOUIS, MO 63136-4649
(314) 339-0061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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