Individual
LISA CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4332 GIBSON AVE, SAINT LOUIS, MO 63110-1612
(314) 448-0268
Mailing address
4332 GIBSON AVE, SAINT LOUIS, MO 63110-1612
(314) 448-0268
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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