Individual
LASHELL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 LATTY AVE, HAZELWOOD, MO 63042-3214
(314) 616-1268
(314) 942-1337
Mailing address
5470 ORIOLE AVE, SAINT LOUIS, MO 63120-2412
(314) 755-1166
(314) 755-1177
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21781656
TIN
—
01
—
38-3896672
FEDERAL IDENTIFICATION NUMBER
MO
Enumeration date
03/03/2014
Last updated
06/02/2023
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