Individual
STACEY D'AQUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Mailing address
1224 CLARKSON CT, ELLISVILLE, MO 63011-2257
(314) 616-5849
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2001025320
MO
Other
Enumeration date
11/28/2012
Last updated
02/20/2019
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