Search › Missouri › 164W00000X
Jermaine Matthew, LPN
NPI 1427257997 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4700 N Hills Ln
Saint Louis, MO 63121 - Phone
- (314) 591-8801
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 343900000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-06
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