Individual
CALLISTUS NWABUEZE NWAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 NOTTINGHILL ROW, APT J, FLORISSANT, MO 63033-2409
(314) 536-0149
Mailing address
2799 NOTTINGHILL ROW, APT J, FLORISSANT, MO 63033-2409
(314) 536-0149
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
129861
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9113902602
UMR
MO
Enumeration date
10/23/2014
Last updated
10/23/2014
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