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Contact Information

STACEY DAQUILA
850 COUNTRY MANOR LN
CREVE COEUR, MO63141-6651
 Phone: 314-434-5900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for STACEY DAQUILA · (Female)

NPI # 1356686570
Status Active
Credentials
Entity Individual
Enumeration date 11/28/2012
Last updated 02/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2001025320
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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