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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AJA BLAKE GOLLIDAY

Active

Community Health Worker · SAINT LOUIS, MO

Registration Details

NPI Number
1205607421
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2024 (2.2626087454825 yrs)
Last Updated
Jan 16, 2024

Practice Information

Address
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO, 631391101
Browse MO providers · Browse ZIP 63139
Phone
3142063700
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in SAINT LOUIS, MO

Name Credential NPI
MRS. LISA ANN PAYNE OTR 1851558423
HEATHER J MINNES 1013142421
MRS. YOLANDA ROCHELLE NEWSON 1053644617
EMIR MILJKOVIC 1295060549
CARLOS H JOHNSON 1619209319
JAMESHIA QUIANNA NIXON 1346547163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.