SearchMissouri261QE0002X

Jordan Moses

NPI 1073295119 · on the registry since 2023 · sole proprietor

Practice

Address
812 N 2ns St
Saint Louis, MO 63102
Phone
(314) 583-0042

Registry record

Primary taxonomy
261QE0002X
261QE0002X
Also registered as
156F00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri