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

JENNIFER GANDOLFO

Active Organization

JENNIFER GANDOLFO is a Early Intervention Provider Agency organization located in LAKE ST. LOUIS, Missouri. NPI 1710349642 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · LAKE ST. LOUIS, MO

Registration Details

NPI Number
1710349642
Provider Type
Organization
NPI Issued
Mar 21, 2016 (10.428344573668 yrs)
Last Updated
Mar 21, 2016

Practice Information

Address
710 ABBOTTSFORD CT.
LAKE ST. LOUIS, MO, 63367
Browse MO providers · Browse ZIP 63367
Phone
3144790306
Primary Specialty
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.