Organization
JASIMA REYNOLDS
Active
Other names
jasima reynolds
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASIMA REYNOLDS (LPN)
(314) 497-3573
Entity
Organization
Contact information
Practice address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(435) 645-0788
(435) 645-0792
Mailing address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(435) 645-0788
(435) 645-0792
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2012021460
MO
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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