Individual
KEWONNA R SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 CRAIG RD STE 102E, SAINT LOUIS, MO 63141-7122
(314) 503-9441
Mailing address
745 CRAIG RD STE 102E, SAINT LOUIS, MO 63141-7122
(314) 503-9441
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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