Individual
DEMONA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3952 TRIPLE CROWN DR, FLORISSANT, MO 63034-3404
(314) 477-1091
Mailing address
3952 TRIPLE CROWN DR, FLORISSANT, MO 63034-3404
(314) 477-1091
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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