Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEQUILA DIONTA CLARK
Active Sole ProprietorTEQUILA DIONTA CLARK is a Home Health healthcare provider located in FLORISSANT, Missouri. NPI 1427752245 is currently active in the NPPES registry. Verify at CMS.
Home Health · FLORISSANT, MO
Registration Details
- NPI Number
- 1427752245
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2023 (3.3982950317361 yrs)
- Last Updated
- Mar 27, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1169 N HIGHWAY 67 STFLORISSANT, MO, 630314701Browse MO providers · Browse ZIP 63031
- Phone
- 3147335683
- Fax
- 3147335684
- Primary Specialty
-
Home Health
251E00000X
Other Home Health Providers in FLORISSANT, MO
| Name | Credential | NPI |
|---|---|---|
| MS. NITA SMITH | — | 1528373149 |
| MRS. BEVERLY ANN MCWILLIAMS | — | 1528337557 |
| PAULETTA MARIE BROOMFIELD | — | 1760816201 |
| ANNETTE JONES | — | 1750701140 |
| VIVIAN RICHARD | — | 1740698687 |
| MISS ANN INGRAM | — | 1922475300 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.