Individual
HANIYYAH SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 BRIARBRAE DR, SAINT LOUIS, MO 63138-3519
(314) 757-2990
Mailing address
832 BRIARBRAE DR, SAINT LOUIS, MO 63138-3519
(314) 757-2990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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