Individual
LAMESA L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2127 VICTOR ST, SAINT LOUIS, MO 63104-2841
(314) 640-8804
Mailing address
PO BOX 58713, SAINT LOUIS, MO 63158-0713
(314) 640-8804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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