Individual
LATERRYL SADDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 HODIAMONT AVENUE, ST LOUIS, MO 63112-1794
(314) 216-1580
(314) 725-0683
Mailing address
730 HODIAMONT AVENUE, ST LOUIS, MO 63112-1794
(314) 216-1580
(314) 725-0683
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326235664
—
MO
Enumeration date
03/25/2016
Last updated
03/25/2016
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