Individual
LUX STAR MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2820
(636) 229-3370
Mailing address
31215 SWEETGUM CT, FORISTELL, MO 63348-2478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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