Organization
JAVIISH INDUSTRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE HICKMAN NONE (MANAGER)
(314) 409-7074
Entity
Organization
Contact information
Practice address
12189 RED LION DR, FLORISSANT, MO 63033-7835
(314) 409-7074
(314) 409-7074
Mailing address
12189 RED LION DR, FLORISSANT, MO 63033-7835
(314) 409-7074
(314) 409-7074
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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