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Jazmon Carroll
NPI 1780140244 · on the registry since 2019
Practice
- Address
- 3437 Caroline St
Saint Louis, MO 63104 - Phone
- (314) 977-2570
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 2251X0800X
2251X0800X
- Also registered as
- 2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-27
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