Individual
MARVA COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 KNOLLWOOD LN, FLORISSANT, MO 63031-1703
(314) 728-8318
Mailing address
PO BOX 24863, SAINT LOUIS, MO 63115-0763
(314) 728-8318
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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