SearchMissouri251E00000X

Charise Thomas

NPI 1407371750 · on the registry since 2017 · sole proprietor

Practice

Address
5056a Mardel Ave
Saint Louis, MO 63109
Phone
(314) 262-1476

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri