Organization
NOUR MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA KAKISH MD (OWNER/MD)
(314) 471-9119
Entity
Organization
Contact information
Practice address
957 BURGUNDY LN, MANCHESTER, MO 63011-3585
(314) 287-8447
(877) 455-4214
Mailing address
957 BURGUNDY LN, MANCHESTER, MO 63011-3585
(314) 287-8447
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
06/21/2025
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