LIEM NGUYEN NICKELSON

SAINT LOUIS, MO
NPI1760764138
Former NameLIEM NGUYEN FISTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MO  2011030647)
Enumeration Date2011-09-12
Last Update Date2017-02-21
Business Address
-- LIEM NGUYEN NICKELSON A.A.
3635 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8000
Mailing Address
-- LIEM NGUYEN NICKELSON A.A.
3635 VISTA AVE
SAINT LOUIS, MO 63110-2539
Phone number: 813-493-0402