Individual
JITENDRA SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12328 NATURAL BRIDGE RD, BRIDGETON, MO 63044-2019
(314) 429-5136
Mailing address
71 FOUNTAINVIEW DR, SAINT CHARLES, MO 63303-3048
(407) 924-5513
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MO
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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