Individual
DANYELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111-119 CHURCH ST, SUITE 104-105, FERGUSON, MO 63135-2441
(314) 736-1388
Mailing address
111-119 CHURCH ST, SUITE 104-105, FERGUSON, MO 63135-2441
(314) 736-1388
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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