Individual
QUEEN TAIBETHA S DARGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7048 N PARK AVE APT D, GLADSTONE, MO 64118-7837
(347) 912-9489
Mailing address
7048 N PARK AVE APT D, GLADSTONE, MO 64118-7837
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
109433A
MO
Other
Enumeration date
02/10/2021
Last updated
04/18/2021
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