Individual
RHONDA L STUCKWISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3009 N BALLAS, #A315, ST. LOUIS, MO 63131
(314) 996-5900
Mailing address
529 ROCKWOOD PARC CT, EUREKA, MO 63025
(636) 938-3207
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
082598
MO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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