AMANDA MICHELLE NICKLAS

SAINT LOUIS, MO
NPI1639519481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MO  2013021169)
Enumeration Date2013-06-26
Last Update Date2024-06-20
Business Address
Dr. AMANDA MICHELLE NICKLAS OD
1 CHILDRENS PL STE 3110
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-6026
Mailing Address
Dr. AMANDA MICHELLE NICKLAS OD
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-454-6026