Individual
JORDAN MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
812 N 2NS ST, SAINT LOUIS, MO 63102
(314) 583-0042
Mailing address
812 N 2NS ST, SAINT LOUIS, MO 63102
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
MO
261QE0002X
Emergency Care Clinic/Center
Primary
—
MO
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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