Individual
WILLIE STREETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4144 LINDELL BLVD STE 200, SAINT LOUIS, MO 63108-2932
(314) 413-6838
Mailing address
4144 LINDELL BLVD STE 200, SAINT LOUIS, MO 63108-2932
(314) 413-6838
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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