Individual
MRS. CHAUNTA S DAVIS-GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4585 COTE BRILLIANTE AVE, SAINT LOUIS, MO 63113-2225
(314) 583-5670
Mailing address
4585 COTE BRILLIANTE AVE, SAINT LOUIS, MO 63113-2225
(314) 583-5670
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
112220
MO
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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