Individual
MISS DANIELLE DAWN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL.OM
Contact information
Practice address
1128 S 18TH ST, SAINT LOUIS, MO 63104-2912
(314) 536-2717
Mailing address
1509 VAIL PL, SAINT LOUIS, MO 63104-2513
(314) 536-2717
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2011028942
MO
Other
Enumeration date
02/12/2009
Last updated
11/10/2011
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