Individual
DEBORAH MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8912 MCNULTY DR, SAINT LOUIS, MO 63114-4048
(314) 599-5096
Mailing address
8912 MCNULTY DR, SAINT LOUIS, MO 63114-4048
(314) 599-5096
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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