Individual
NIKI SUE SWAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
662 DUNDEE CT, WENTZVILLE, MO 63385-2858
(636) 541-1162
Mailing address
662 DUNDEE CT, WENTZVILLE, MO 63385-2858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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