Individual
VIVIAN MICHELLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4618 BESSIE AVE, SAINT LOUIS, MO 63115-2424
(314) 327-3631
Mailing address
920 S 6TH ST, BELLEVILLE, IL 62220-2453
(314) 327-3631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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