Organization
JCGILLESPIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GILLESPIE (CEO)
(314) 283-9490
Entity
Organization
Contact information
Practice address
327 RANDOLPH AVE, SAINT LOUIS, MO 63135-2655
(314) 243-5725
Mailing address
327 RANDOLPH AVE, SAINT LOUIS, MO 63135-2655
(314) 243-5725
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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