Individual
MRS. DAMONIQUE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 OLYMPIA DR, SAINT LOUIS, MO 63135-1563
(314) 701-1065
Mailing address
1001 OLYMPIA DR, SAINT LOUIS, MO 63135-1563
(314) 701-1065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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