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NPI Code Detail

MEDICARE: MISS SHALINA ANN JONES MLT

MEDICARE:  MISS SHALINA ANN JONES  MLT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RM2200XMedical Laboratory Technician72250MO

General Provider Information

NPI Number : 1902128036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHALINA ANN JONES MLT
Provider Business Mailing Address
First Line : 444 LANCASHIRE RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63137-4016
Country : US
Telephone Number : 314-869-4971
Fax Number :
Provider Business Practice Location Address
First Line : 444 LANCASHIRE RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63137-4016
Country : US
Telephone Number : 314-869-4971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2010
Last Update Date : 02/16/2010

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Directions to “ MISS SHALINA ANN JONES MLT” Practice Location

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