Individual
EBONY N BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2765 NEW MADRID LN, SAINT LOUIS, MO 63136-2600
(314) 371-8156
Mailing address
2765 NEW MADRID LN, SAINT LOUIS, MO 63136-2600
(314) 371-8156
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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