Individual
NIESHA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2387 MILLVALLEY DR, FLORISSANT, MO 63031-2821
(314) 265-1202
(314) 830-0462
Mailing address
2387 MILLVALLEY DR, FLORISSANT, MO 63031-2821
(314) 265-1202
(314) 830-0462
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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