Individual
CLIFFE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
2518 WATERFRONT CT, IMPERIAL, MO 63052-4335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2001017695
MO
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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