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Judith Walther

Technician, Attendant Care Provider in St Louis, MO. Individual provider (NPI-1).

NPI number1164073094
StatusActive
Last updated in NPPESSep 23, 2019

Details

NPI
1164073094
Entity type
Individual (NPI-1)
Name
Judith Walther
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 23, 2019
Last updated
Sep 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

1 Jefferson Barracks Drive
St Louis, MO 63125

Phone 314-652-4100

Mailing address

5067 Reynosa Drive
St Louis, MO 63128

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Other Attendant Care Provider providers in St Louis, MO

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