Individual
JASMINE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3906 WRIGHT AVE, SAINT ANN, MO 63074-1932
(314) 254-7005
Mailing address
3906 WRIGHT AVE, SAINT ANN, MO 63074-1932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC001483968
MO
374U00000X
Home Health Aide
LC001483968
MO
Other
Enumeration date
10/10/2016
Last updated
10/12/2016
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