Individual
TYRONE DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12060 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1903
(314) 764-2099
(314) 764-2152
Mailing address
12060 BELLEFONTAINE RD, SAINT LOUIS, MO 63138-1903
(314) 764-2099
(314) 764-2152
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1563
MO
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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