Individual
MRS. LISA CHENGSHA ZHU TAMPRATEEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 KIEFER TRAILS DR, BALLWIN, MO 63021-6078
(314) 374-9502
Mailing address
10440 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3569
(314) 374-9502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
514464
MO
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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