Individual
TONISHA STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1671 S OLD HIGHWAY 141 STE B, FENTON, MO 63026-5746
(314) 562-7051
Mailing address
1671 S OLD HIGHWAY 141 STE B, FENTON, MO 63026-5746
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122083
—
MO
Enumeration date
07/13/2021
Last updated
07/13/2021
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