Individual
JASMINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3929 VIRGINIA AVE, SAINT LOUIS, MO 63118-4318
(618) 512-0136
Mailing address
3929 VIRGINIA AVE, SAINT LOUIS, MO 63118-4318
(618) 512-0136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC1804724
MO
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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