Individual
JASMINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 S SPRING AVE, SAINT LOUIS, MO 63116-4219
(314) 801-4964
Mailing address
4777 S SPRING AVE, SAINT LOUIS, MO 63116-4219
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
SELF
MO
Enumeration date
11/23/2022
Last updated
11/23/2022
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