Individual
DANITA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6113 JEFFERSON AVE, SAINT LOUIS, MO 63134-2236
(314) 653-0088
Mailing address
PO BOX 34004, SAINT LOUIS, MO 63134-0004
(314) 653-0088
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
203020651
MO
374T00000X
Religious Nonmedical Nursing Personnel
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372500000X
—
MO
05
—
374U00000X
—
MO
Enumeration date
05/27/2009
Last updated
07/07/2023
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