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Individual

DR. AMILA TOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGNP-C

Contact information

Practice address
12700 SOUTHFORK ROAD, SUITE 200/220, ST. LOUIS, MO 63128
(314) 543-5942
Mailing address
12700 SOUTHFORK ROAD, SUITE 200/220, ST. LOUIS, MO 63128-3206
(314) 543-5942

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018006140
MO

Other

Enumeration date
06/05/2018
Last updated
06/05/2018
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