Organization
KIGABAFORI PEARLS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERLINDA JOYCE ANDERSON CHES (PRESIDENT/CEO)
(317) 607-8569
Entity
Organization
Contact information
Practice address
5578 PERSHING AVE, SUITE 11, SAINT LOUIS, MO 63112-1740
(317) 607-8569
Mailing address
5578 PERSHING AVE, SUITE 11, SAINT LOUIS, MO 63112-1740
(317) 607-8569
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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