Individual
CLARYSSA VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
470 E LOCKWOOD AVE, SAINT LOUIS, MO 63119-3141
(800) 981-9801
Mailing address
4106 WYOMING ST, SAINT LOUIS, MO 63116-3935
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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