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Individual

MISS NIA NAILAH THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1430 OLIVE ST STE 500, SAINT LOUIS, MO 63103-2377
(314) 206-3700
Mailing address
4236 E SACRAMENTO AVE, SAINT LOUIS, MO 63115-3461
(314) 724-5791

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/30/2018
Last updated
07/30/2018
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