EBONY STREET

SAINT LOUIS, MO
NPI1528414760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-05-06
Last Update Date2016-05-06
Business Address
-- EBONY STREET
1430 OLIVE ST
SAINT LOUIS, MO 63103-2303
Phone number: 314-620-3742
Mailing Address
-- EBONY STREET
1430 OLIVE ST
SAINT LOUIS, MO 63103-2303
Phone number: 314-620-3742
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