Individual
CHASITY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3470 GREENWAY CHASE DR, FLORISSANT, MO 63031-1111
(314) 201-6609
(314) 254-7343
Mailing address
3470 GREENWAY CHASE DR, FLORISSANT, MO 63031-1111
(314) 201-6609
(314) 254-7343
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N137038009
—
MO
Enumeration date
05/15/2019
Last updated
05/15/2019
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