Individual
KLONDA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 UNION BLVD, SAINT LOUIS, MO 63115-1119
(636) 220-1395
(636) 220-1396
Mailing address
6156 LAKE PADDOCK DR, FLORISSANT, MO 63033-4721
(314) 604-2285
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/12/2015
Last updated
11/30/2022
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