MEDICARE: TEONA ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1184492035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEONA ADAMS

Provider Business Mailing Address
First Line	:	731 LELAND AVE # 3S
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-3668
Country	:	US
Telephone Number	:	314-363-6689
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 S BOYLE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-3814
Country	:	US
Telephone Number	:	314-797-0224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	12/19/2023

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Directions to “ TEONA ADAMS ” Practice Location

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