Individual
COURTNEY SALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
(314) 249-9625
Mailing address
3357 BRIDGETON TRAILS DR, BRIDGETON, MO 63044-2874
(314) 723-1506
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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