Organization
MOMENTS OF SERENITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MARIE GILDEHAUS-BALLEYDIER LMT (OWNER)
(636) 390-0047
Entity
Organization
Contact information
Practice address
1380 HIGH ST, SUITE 3, WASHINGTON, MO 63090-4396
(636) 390-0047
(636) 390-9424
Mailing address
1380 HIGH ST, SUITE 3, WASHINGTON, MO 63090-4396
(636) 390-0047
(636) 390-9424
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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