Individual
EUREKA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 COACH HOUSE DR, HAZELWOOD, MO 63042-3423
(314) 642-2116
Mailing address
628 COACH HOUSE DR, HAZELWOOD, MO 63042-3423
(314) 642-2116
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
MO
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/11/2025
Last updated
01/16/2025
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