Provider Demographics
NPI:1861292039
Name:SCALES, VONDA L
Entity type:Individual
Prefix:MRS
First Name:VONDA
Middle Name:L
Last Name:SCALES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 ROSEMOOR GARDEN CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-1047
Mailing Address - Country:US
Mailing Address - Phone:314-218-8604
Mailing Address - Fax:
Practice Address - Street 1:3805 ROSEMOOR GARDEN CT
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-1047
Practice Address - Country:US
Practice Address - Phone:314-218-8604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider