TAIYONNA MARSHEA LYNNESE BLACKMON

SAINT LOUIS, MO
NPI1033949243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2020033205)
Enumeration Date2024-08-02
Last Update Date2024-08-02
Business Address
TAIYONNA MARSHEA LYNNESE BLACKMON LPN
4577 CARTER AVE
SAINT LOUIS, MO 63115-2516
Phone number: 314-410-9117
Mailing Address
TAIYONNA MARSHEA LYNNESE BLACKMON LPN
4577 CARTER AVE
SAINT LOUIS, MO 63115-2516
Phone number: 314-410-9117
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