Individual
BLANCHE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3664 MONTANA ST FL 1, SAINT LOUIS, MO 63116-4514
(314) 239-2283
Mailing address
3664 MONTANA ST FL 1, SAINT LOUIS, MO 63116-4514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012022043
MO
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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