Individual
QUONISHA HOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3932 ARBRE LN, FLORISSANT, MO 63034-2324
(314) 285-1049
Mailing address
3932 ARBRE LN, FLORISSANT, MO 63034-2324
(314) 285-1049
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2015041242
MO
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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