Individual
CALELA PERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
4047 ESSELDALE DR, SAINT ANN, MO 63074-1901
(314) 817-8533
Mailing address
4047 ESSELDALE DR, SAINT ANN, MO 63074-1901
(314) 817-8533
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
LC1767795
MO
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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