Individual
ANTHONY CISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 KENTUCKY AVE, SAINT LOUIS, MO 63110-3819
(314) 309-6771
Mailing address
1135 KENTUCKY AVE, SAINT LOUIS, MO 63110-3819
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
U050232017
MO
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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