Individual
SHIRLEY AVELLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2709 HIBANK CT, BELLEVILLE, IL 62226-4937
(618) 257-1927
Mailing address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 894-6677
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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