Organization
ESTRADA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ANGELICA ESTRADA D.C. (OWNER)
(314) 276-7499
Entity
Organization
Contact information
Practice address
23 N GORE AVE, SUITE 210, WEBSTER GROVES, MO 63119-2300
(314) 961-7605
(314) 961-7605
Mailing address
6842 WALDEMAR AVE, SAINT LOUIS, MO 63139-3556
(314) 276-7499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002017116
MO
Other
Enumeration date
09/05/2013
Last updated
12/03/2013
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