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Individual

SPANDANA CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 CREEKSIDE OFFICE DR # 3288, WENTZVILLE, MO 63385-3289
(636) 639-6262
Mailing address
23150 TRANQUIL SPRINGS LN, KATY, TX 77494-4256
(346) 401-0553

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023010898
MO

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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