Provider Demographics
NPI:1568054997
Name:MALAGIC, JASMINA
Entity Type:Individual
Prefix:
First Name:JASMINA
Middle Name:
Last Name:MALAGIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3194 MEADOWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-3751
Mailing Address - Country:US
Mailing Address - Phone:314-996-9037
Mailing Address - Fax:
Practice Address - Street 1:3194 MEADOWFIELD DR
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-3751
Practice Address - Country:US
Practice Address - Phone:314-996-9037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide