Individual
BRIDGET A SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PARTNER
Contact information
Practice address
6546 HANCOCK AVE, SAINT LOUIS, MO 63139-2157
(314) 800-7213
Mailing address
6546 HANCOCK AVE, SAINT LOUIS, MO 63139-2157
(314) 800-7213
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
83-4650541
MO
374U00000X
Home Health Aide
—
MO
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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