Individual
BREANNA R WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S 4TH ST, SAINT LOUIS, MO 63102-1800
(314) 797-5292
Mailing address
100 S 4TH ST, SAINT LOUIS, MO 63102-1800
(314) 797-5292
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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