Individual
JAYLAHNI-TASHON MAILENA POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
4042 SHAW BLVD, SAINT LOUIS, MO 63110-3622
(314) 296-7751
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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