Individual
STEPHANIE SHANTE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 BONHOMME AVE, SAINT LOUIS, MO 63105-1911
(341) 797-7136
(314) 786-0588
Mailing address
7777 BONHOMME AVE, SAINT LOUIS, MO 63105-1911
(341) 797-7136
(314) 786-0588
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/22/2019
Last updated
09/22/2019
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