Individual
REONNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5620 WABADA AVE, SAINT LOUIS, MO 63112-4014
(314) 285-4538
Mailing address
5620 WABADA AVE, SAINT LOUIS, MO 63112-4014
(314) 285-4538
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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