Individual
JERRI KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 COUNTY ROAD 32B, IRONTON, MO 63650-7553
(314) 808-3834
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
15324
MO
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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