Individual
JASMINE J JOINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12350 CENTERBROOK DR, BLACK JACK, MO 63033-7314
(314) 755-0287
Mailing address
12350 CENTERBROOK DR, BLACK JACK, MO 63033-7314
(314) 755-0287
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
83-1342409
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1342409
—
MO
Enumeration date
10/23/2018
Last updated
10/23/2018
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