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Callie Mathis

NPI 1528677887 · on the registry since 2020

Practice

Address
4359 Taft Ave
Saint Louis, MO 63116
Phone
(314) 752-2022
Organisation at this address
R. Development, Inc
Pine Grove Manor Llc
Jpam Management & Consulting Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-23

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