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Individual

LANNA ROBERTA BRICKHAUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5945 SAWDUST TRAIL, CEDAR HILL, MO 63016
(314) 401-3962
Mailing address
5945 SAWDUST TRAIL, CEDAR HILL, MO 63016
(314) 401-3962

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/25/2019
Last updated
05/07/2020
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