Individual
JAWANA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1072 FERNGATE LN, SAINT LOUIS, MO 63141-6130
(314) 422-7868
Mailing address
1072 FERNGATE LN, SAINT LOUIS, MO 63141-6130
(314) 422-7868
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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