Individual
TENISHA C THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 CORPORATE SQUARE DR, SAINT LOUIS, MO 63132-2928
(314) 323-6803
Mailing address
14812 STRATFORD CT APT B, BRIDGETON, MO 63044-1962
(314) 323-6803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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