Individual
JAIDA KRISTENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 E DUNKLIN ST, JEFFERSON CITY, MO 65101-3128
(573) 659-3000
Mailing address
1413 PARIS RD UNIT 201, COLUMBIA, MO 65201-5665
(847) 532-3021
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2025036648
MO
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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