Individual
MS. LARITA RENEE WINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 COTTAGE AVE, SAINT LOUIS, MO 63113-3204
(314) 565-9615
Mailing address
4030 COTTAGE AVE, SAINT LOUIS, MO 63113-3204
(314) 371-1001
(314) 371-1937
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/17/2009
Last updated
12/28/2009
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