Individual
TEARA MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 7 HILLS DR, FLORISSANT, MO 63033-6708
(314) 745-2926
Mailing address
11855 VILLA DORADO DR, SAINT LOUIS, MO 63146-4701
(314) 565-7629
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852948045
—
MO
Enumeration date
09/15/2020
Last updated
09/15/2020
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