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Individual

LUCY WACHUKA KAMAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4412 CLARENCE AVE, SAINT LOUIS, MO 63115-3108
(806) 584-5498
Mailing address
4412 CLARENCE AVE, SAINT LOUIS, MO 63115-3108
(806) 584-5498

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020010565
MO

Other

Enumeration date
04/14/2020
Last updated
04/14/2020
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