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Individual

JOANNA KARMEISHA WHITE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5402 S COMPTON AVE, SAINT LOUIS, MO 63111-1906
(314) 845-4508
Mailing address
5402 S COMPTON AVE, SAINT LOUIS, MO 63111-1906
(314) 845-4508

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
R208252012
MO

Other

Enumeration date
04/28/2021
Last updated
04/28/2021
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