Individual
JACQUELIN STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 N 26TH ST, SAINT JOSEPH, MO 64506-2748
(816) 671-4000
Mailing address
1415 N 26TH ST, SAINT JOSEPH, MO 64506-2748
(816) 671-4000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024030110
MO
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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