Individual
TEQUILA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10220 EDGEFIELD DR, SAINT LOUIS, MO 63136-5622
(314) 437-5744
Mailing address
10220 EDGEFIELD DR, SAINT LOUIS, MO 63136-5622
(314) 437-5744
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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