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Individual

DR. MELANEY YAJUAN LITTLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
8420 DELMAR BLVD, SUITE 305, SAINT LOUIS, MO 63124-2170
(314) 997-4460
(314) 997-2306
Mailing address
8420 DELMAR BLVD, SUITE 305, SAINT LOUIS, MO 63124-2170
(314) 997-4460
(314) 997-2306

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004021551
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74-3168329
TAX ID
MO
01
M0459
MEDICARE SUBMITTER ID
MO
01
MA1866
MEDICARE PROVIDER NUMBER
MO
Enumeration date
05/08/2006
Last updated
09/21/2009
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