Individual
JAYWANNA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
315 E ASHLEY ST, JEFFERSON CTY, MO 65101-3411
(816) 457-8338
Mailing address
315 E ASHLEY ST, JEFFERSON CTY, MO 65101-3411
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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