Individual
MRS. YOLANDA RENA FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7369 WELLINGTON AVE, UNIVERSITY CITY, MO 63130-1722
(314) 727-7257
Mailing address
7369 WELLINGTON AVE, UNIVERSITY CITY, MO 63130-1722
(314) 727-7257
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
LC9834414
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-2587185
—
MO
Enumeration date
10/09/2017
Last updated
10/09/2017
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