Individual
DR. NICOLE NOKUBONGA MAJACHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-08, ST LOUIS, MO 63110
(314) 454-4826
(314) 454-4633
Mailing address
WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-08, ST LOUIS, MO 63110
(314) 454-4826
(314) 454-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024023565
MO
208000000X
Pediatrics Physician
9324-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
9324-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/14/2021
Last updated
07/03/2024
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