Individual
TAUSIF HASAN TALUKDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
11160 FORT SAMUEL DR, BRIDGETON, MO 63044-3816
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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