Individual
TERRIE LAWANDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11551 HEREFORDSHIRE DR, SAINT LOUIS, MO 63138-3534
(314) 869-4766
Mailing address
5331 TERRY AVE, SAINT LOUIS, MO 63120-2020
(314) 765-5869
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
09/06/2024
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