Joanna Karmeisha White Sr.
Adult Companion in Saint Louis, MO. Individual provider (NPI-1).
NPI number1215519285
StatusActive
Last updated in NPPESApr 28, 2021
Details
- NPI
- 1215519285
- Entity type
- Individual (NPI-1)
- Name
- Joanna Karmeisha White Sr.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2021
- Certification date
- Apr 28, 2021
- Last updated
- Apr 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | R208252012 | MO | Yes |
Practice location
5402 S Compton AveSaint Louis, MO 63111-1906
Phone 314-845-4508
Mailing address
5402 S Compton AveSaint Louis, MO 63111-1906
Phone 314-845-4508
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