Individual
UT HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4670 LANSDOWNE AVE, SAINT LOUIS, MO 63116-1523
(314) 329-6099
Mailing address
4168 FAIRVIEW AVE, SAINT LOUIS, MO 63116-3714
(314) 489-4535
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20240044290
MO
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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