Individual
MS. YVONNE MARIE MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 NEWSTEAD TER, SAINT LOUIS, MO 63115-2538
(314) 601-4010
Mailing address
4500 NEWSTEAD TER, SAINT LOUIS, MO 63115-2538
(314) 601-4010
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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