Individual
DENISE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 MEDITERRANEAN DR, FLORISSANT, MO 63031-1410
(314) 608-7478
(314) 838-1392
Mailing address
634 MEDITERRANEAN DR, FLORISSANT, MO 63031-1410
(314) 608-7478
(314) 838-1392
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
LC0674754
MO
372600000X
Adult Companion
LC0674754
MO
376J00000X
Homemaker
Primary
LC0674754
MO
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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