Individual
MADISON SAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4360 AL CLARE DR, SAINT LOUIS, MO 63123-4810
(314) 223-7189
Mailing address
4360 AL CLARE DR, SAINT LOUIS, MO 63123-4810
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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