Individual
ELSA TANA DEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11861 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3305
(314) 392-9762
Mailing address
2332 BATTLEFIELD DR, FLORISSANT, MO 63031-2728
(314) 616-5285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015042182
MO
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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