Individual
ANISHKA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6211 NOTTINGHAM AVE, SAINT LOUIS, MO 63109-3144
(314) 366-2490
Mailing address
6211 NOTTINGHAM AVE FL 1, SAINT LOUIS, MO 63109-3144
(314) 366-2490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MO
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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