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Desiray Taylor

Contractor in Saint Louis, MO. Individual provider (NPI-1).

NPI number1407200728
StatusActive
Last updated in NPPESApr 22, 2016

Details

NPI
1407200728
Entity type
Individual (NPI-1)
Name
Desiray Taylor
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2016
Last updated
Apr 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor–MOYes
376J00000X Homemaker–MO
372600000X Adult Companion–MO

Practice location

2318 Woodson Rd
Unit 142324
Saint Louis, MO 63114-5544

Phone 314-341-8987

Mailing address

2318 Woodson Rd
Unit 142324
Saint Louis, MO 63114-5544

Phone 314-341-8987

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