Individual
TAKIA NUNNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1927 S COMPTON AVE APT 3, SAINT LOUIS, MO 63104-1579
(314) 532-7975
Mailing address
1927 S COMPTON AVE APT 3, SAINT LOUIS, MO 63104-1579
(314) 532-7975
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
5387696376TN
MO
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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