Individual
JALEN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 CRAIGSHIRE RD APT 410C, SAINT LOUIS, MO 63146-4036
(314) 757-8092
Mailing address
2055 CRAIGSHIRE RD APT 410C, SAINT LOUIS, MO 63146-4036
(314) 757-8092
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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