Individual
PAULETTE LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 VICKSBURG DR, BELLEVILLE, IL 62221-6670
(618) 236-7752
Mailing address
521 VICKSBURG DR, BELLEVILLE, IL 62221-6670
(618) 236-7752
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37470650X
VA
MO
Enumeration date
10/28/2020
Last updated
10/28/2020
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