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Individual

ILUNGA KATAMBWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1621 N 1ST ST, SAINT LOUIS, MO 63102-1299
(314) 922-1822
Mailing address
1841 LUNENBURG DR, SAINT PETERS, MO 63376-8166
(314) 922-1822

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2021016520
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023035006
MO

Other

Enumeration date
05/10/2021
Last updated
01/13/2024
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