Individual
ERITREA MICHAEL TECLETSION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5219 DELMAR BLVD, ST. LOUIS, MO 63108
(314) 761-3769
(314) 361-9355
Mailing address
7498 DREXEL DR, ST. LOUIS, MO 63130
(314) 256-9708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005011149
MO
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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