Individual
BROOKLYN HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
226 E WARRICK ST, KNIGHTSTOWN, IN 46148-1146
(765) 571-1866
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
16552
IN
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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