Individual
DESIRAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 WOODSON RD, UNIT 142324, SAINT LOUIS, MO 63114-5544
(314) 341-8987
Mailing address
2318 WOODSON RD, UNIT 142324, SAINT LOUIS, MO 63114-5544
(314) 341-8987
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MO
372600000X
Adult Companion
—
MO
376J00000X
Homemaker
—
MO
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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