Individual
FATIMA IBRAHIM MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8516
(314) 814-8593
Mailing address
1 DELCREST CT APT 102, SAINT LOUIS, MO 63124-2169
(470) 819-7032
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2005014096
MO
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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