Individual
NEFRURA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4223 SPRINGDALE AVE, SAINT LOUIS, MO 63134-2614
(314) 845-4312
Mailing address
4223 SPRINGDALE AVE, SAINT LOUIS, MO 63134-2614
(314) 845-4312
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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