Individual
SUZETTE LE VAN PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 S 18TH ST, #229, SAINT LOUIS, MO 63104-2550
(314) 941-0053
Mailing address
1445 S 18TH ST, #229, SAINT LOUIS, MO 63104-2550
(314) 941-0053
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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