Individual
MARIE TAYLOR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4904 THRUSH AVE, SAINT LOUIS, MO 63120-2224
(313) 147-9115
Mailing address
2225 PARKER RD, FLORISSANT, MO 63033-2137
(314) 791-1555
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
132497
MO
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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