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Miyoung Luangphisay
Student in an Organized Health Care Education/Training Program in Ballwin, Missouri
NPI 1649952094

Miyoung Luangphisay is a Student in an Organized Health Care Education/Training Program based in Ballwin, MO. Miyoung Luangphisay practices in Ballwin, MO. The NPI Number for Miyoung Luangphisay is 1649952094 and holds a License No. (Missouri).

The current practice location address for Miyoung Luangphisay is 254 Cedar Village Ct, Ballwin, MO and can be reached out via phone at 314-255-7069.

Location: 254 Cedar Village Ct, Ballwin, MO, 63021-6116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649952094
Provider Name
Miyoung Luangphisay
Credential
Provider Entity Type
Individual
Gender
Female
Address
254 Cedar Village Ct, Ballwin, MO, 63021-6116
Phone Number
314-255-7069
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
254 Cedar Village Ct
City
Ballwin
State
Missouri
Zip
63021-6116
Phone Number
314-255-7069
Fax Number
person
Provider Business Mailing Address Details
Address
254 Cedar Village Ct
City
Ballwin
State
Missouri
Zip
63021-6116
Phone Number
314-255-7069
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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