Individual
ELICIA MIDDLEBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 MCLARAN AVE, SAINT LOUIS, MO 63136-3768
(314) 867-4673
(314) 388-2703
Mailing address
2043 MCLARAN AVE, SAINT LOUIS, MO 63136-3768
(314) 867-4673
(314) 388-2703
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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