Individual
JEREMY JOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1410 INTERSTATE 70 DR SW, PHOENIX HOME HEALTH, COLUMBIA, MO 65203
(573) 442-9911
Mailing address
1410 INTERSTATE 70 DR SW, PHOENIX HOME HEALTH, COLUMBIA, MO 65203
(573) 442-9911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007012658
MO
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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