Individual
VICTORIA JAMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 N EUCLID AVE STE 325, SAINT LOUIS, MO 63108-1689
(314) 361-2312
Mailing address
625 N EUCLID AVE STE 325, SAINT LOUIS, MO 63108-1689
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800935354
—
MO
Enumeration date
08/25/2014
Last updated
08/25/2014
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