DEVIOUS SHANNON

SAINT LOUIS, MO
NPI1164237731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
Enumeration Date2025-02-11
Last Update Date2025-06-03
Business Address
DEVIOUS SHANNON
31 BASCOM DR
SAINT LOUIS, MO 63135-1101
Phone number: 314-680-4612
Mailing Address
DEVIOUS SHANNON
7220 N LINDBERGH BLVD # 20
HAZELWOOD, MO 63042-2019
Phone number: 314-680-4612
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