Individual
JENISHA GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
324 JUNGERMANN RD, SAINT PETERS, MO 63376-5350
(636) 928-5327
Mailing address
7 RIVERMEADOWS DR, FLORISSANT, MO 63031-6586
(314) 951-4742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021024146
MO
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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