Individual
JESSICA SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N 5TH ST STE 109, SAINT CHARLES, MO 63301-1877
(636) 757-5525
(636) 757-3810
Mailing address
205 N 5TH ST STE 109, SAINT CHARLES, MO 63301-1877
(636) 757-5525
(636) 757-3810
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2014005322
MO
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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