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Individual

MS. JENNIFER JOY EHRET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
400 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1014
(314) 362-9123
(314) 747-3338
Mailing address
660 S EUCLID AVE, C B 8072, SAINT LOUIS, MO 63110-1010
(314) 454-7900
(314) 747-4876

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2005030560
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000097261
MO
Enumeration date
07/17/2006
Last updated
10/22/2015
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