Individual
MRS. CHARRISE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 SOMERSET DR, FLORISSANT, MO 63033-1010
(314) 972-1380
(314) 972-1380
Mailing address
2280 SOMERSET DR, FLORISSANT, MO 63033-1010
(314) 972-1380
(314) 972-1380
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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