NPI 1366959868

Shyla Davon Times Mayes, BA

Practitioner Community Health Worker Bridgeton, MO

Practice location

Address: 3165 McKelvey Rd, Bridgeton, MO 63044-2550
Phone: (314) 800-5848
Mailing address: 1430 Olive St STE 400, Saint Louis, MO 63103-2303

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Missouri →

Registry record

NPI: 1366959868
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2018
Record last updated: 5 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.