MRS. Pamela Vantrice Royston, MO HEALTH NET PROVID
NPI #1649742842 in Florissant, Missouri
Provider Information
- NPI Number
- 1649742842
- Entity Type
- Individual
- Name
- MRS. Pamela Vantrice Royston, MO HEALTH NET PROVID
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Adult Day Care
- Credential
- MO HEALTH NET PROVID
- Enumeration Date
- Dec 28, 2018
- Last Updated
- Dec 28, 2018
Practice Location
- Address
- 11581 W FLORISSANT AVE
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63033-6740
- Phone
- (314) 664-5155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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