Individual
TAMIRA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7403 BURCKE DR, HAZELWOOD, MO 63042-1416
(314) 599-4270
Mailing address
7403 BURCKE DR, HAZELWOOD, MO 63042-1416
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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