Individual
DANIEL SHENDEROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8127 DELMAR BLVD #208, SAINT LOUIS, MO 63130
(636) 675-0946
Mailing address
8127 DELMAR BLVD #208, SAINT LOUIS, MO 63130
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
LC001445324
MO
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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