Individual
MRS. LAQUESHA STANCIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 S 5TH ST, SAINT CHARLES, MO 63301-2449
(636) 896-4363
(636) 896-4019
Mailing address
1360 S 5TH ST, SAINT CHARLES, MO 63301-2449
(636) 896-4363
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
08/19/2015
Last updated
10/21/2015
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