Individual
MISS CHUDNEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST, SUITE 500, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
714 SAINT MARTIN DR, CAHOKIA, IL 62206-1735
(618) 332-3582
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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