Individual
TIAUNA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 WASHINGTON BLVD, SAINT LOUIS, MO 63108-3507
(314) 229-8416
Mailing address
9757 LORNA LN, SAINT LOUIS, MO 63136-1906
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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