Individual
MR. HERSI HERSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 S GEYER RD STE 100, SAINT LOUIS, MO 63127-1237
(858) 752-7052
Mailing address
3636 S GEYER RD STE 100, SAINT LOUIS, MO 63127-1237
(858) 752-7052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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