Individual
TANISHA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1386 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 493-0884
(636) 493-1884
Mailing address
1386 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 493-0884
(636) 493-1884
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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