Individual
JAMAAL K BOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 S 21ST ST STE 400, SAINT LOUIS, MO 63103-2267
(314) 436-1177
Mailing address
1223 N ELMWOOD AVE, OAK PARK, IL 60302-1248
(773) 891-6076
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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