Individual
MS. ANGEL JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 BROOKES DR, SUITE 203, HAZELWOOD, MO 63042-2736
(314) 731-7770
Mailing address
320 BROOKES DR, SUITE 203, HAZELWOOD, MO 63042-2736
(314) 731-7770
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/07/2013
Last updated
08/31/2018
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