Individual
PESHAWA KURDISTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5803 GOENER AVE, SAINT LOUIS, MO 63116-2234
(314) 255-5784
Mailing address
5803 GOENER AVE, SAINT LOUIS, MO 63116-2234
(314) 255-5784
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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