Individual
MISS CANDICE DAILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6824 SALZBURGER AVE, SAINT LOUIS, MO 63116
(314) 201-6357
Mailing address
6824 SALZBURGER AVE, SAINT LOUIS, MO 63116-1118
(314) 201-6357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16394226620
—
MO
01
—
1639426620
HEALTHCARE
MO
Enumeration date
08/08/2012
Last updated
08/24/2018
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