Organization
GIFTED TOUCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK GLEN HENDERSON JR. (OWNER)
(314) 598-1058
Entity
Organization
Contact information
Practice address
1736 KEELEN DR, SAINT LOUIS, MO 63136-2441
(314) 598-1058
Mailing address
1736 KEELEN DR, SAINT LOUIS, MO 63136-2441
(314) 598-1058
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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