Individual
LAQUETTE ANDERSON MEDCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 MAYBELLE DR, SAINT LOUIS, MO 63121-4119
(314) 536-6991
Mailing address
3209 MAYBELLE DR, SAINT LOUIS, MO 63121-4119
(314) 536-6991
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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