| NPI | 1467257576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA MICHELLE JONES Executive Administrator 314-279-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 251F00000X Home Infusion | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-19 |