Individual
JUANITA FELISHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
4144 LINDELL BLVD STE 317, SAINT LOUIS, MO 63108-2953
(314) 824-7476
Mailing address
8420 SAINT OLAF DR, SAINT LOUIS, MO 63134-1110
(314) 824-7476
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
2004399
MO
Other
Enumeration date
07/20/2007
Last updated
06/27/2014
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