ISHVARA OM

JEFFERSON CITY, MO
NPI1871230730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2025033842)
Enumeration Date2022-05-12
Last Update Date2025-08-11
Business Address
ISHVARA OM DO
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5301
Mailing Address
ISHVARA OM DO
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5301