Individual
MS. KEANA TENA DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 STRECKER RD, ELLISVILLE, MO 63011-1988
(636) 821-5037
(636) 821-5056
Mailing address
10 STECKER ROAD, ELLISVILLE, MO 63011-0000
(636) 821-5037
(636) 821-5056
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4704858995
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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