Individual
LA'SHAY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 STALLION DR, FLORISSANT, MO 63033-3133
(314) 478-7982
Mailing address
1525 STALLION DR, FLORISSANT, MO 63033-3133
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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