Individual
KEYONIA HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 WASHINGTON AVE, SAINT LOUIS, MO 63103-1623
(314) 792-8418
Mailing address
1907 WASHINGTON AVE, SAINT LOUIS, MO 63103-1623
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25197096
—
MO
Enumeration date
04/23/2018
Last updated
04/23/2018
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