| Doctor Name: | MRS. AQUILLINE BRASELMAN-WEST |
| NPI Number: | 1497162259 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 35 N Marguerite Ave Ferguson, MO - 631352339 |
| Business Phone Number: | 3143653376 |
| Business Fax Number: | 3143653376 |
| Mailing Address: | 35 N Marguerite Ave, FERGUSON |
| State: | MO |
| Postal Code: | 631352339 |
| Phone Number: | 3143653376 |
| Fax Number: | 3143653376 |
| NPI Enumeration Date: | 07/14/2014 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3747A0650X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Technician |
| Taxonomy Specialization: | Attendant Care Provider |
| Taxonomy Definition: | An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |