Individual
MS. LAQUITA DARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 RUE ROYALE, 2, SAINT CHARLES, MO 63301-8355
(314) 503-1782
Mailing address
3208 RUE ROYALE, 2, SAINT CHARLES, MO 63301-8355
(314) 503-1782
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
060920152492
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372600000X
—
MO
Enumeration date
06/13/2015
Last updated
06/13/2015
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