Individual
DENEA ROCHELLE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 AMBLEWOOD DR, FLORISSANT, MO 63033-3902
(314) 324-5404
(314) 475-5027
Mailing address
3445 AMBLEWOOD DR, FLORISSANT, MO 63033-3902
(314) 324-5404
(314) 475-5027
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528484524
—
MO
Enumeration date
07/30/2020
Last updated
07/29/2024
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