Takeela Chounta Clemons
Home Health in Ferguson, MO. Individual provider (NPI-1).
NPI number1184478091
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1184478091
- Entity type
- Individual (NPI-1)
- Name
- Takeela Chounta Clemons
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
103 S Florissant RdFerguson, MO 63135-2733
Phone 314-456-7519
Mailing address
103 S Florissant RdFerguson, MO 63135-2733
Phone 314-456-7519
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