Individual
BRITTANY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 FONTAINE PL, SAINT LOUIS, MO 63137-2706
(314) 265-5704
Mailing address
801 FONTAINE PL, SAINT LOUIS, MO 63137-2706
(314) 265-5704
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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