Individual
DAAIYAH KHALEELAH ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4242 LINDELL BLVD APT 209, SAINT LOUIS, MO 63108-2984
(310) 767-6810
Mailing address
4242 LINDELL BLVD APT 209, SAINT LOUIS, MO 63108-2984
(310) 767-6810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5737510681
MO
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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