Individual
LAURA PRICE-BOURISAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8 WARSEN AVE, WENTZVILLE, MO 63385-4811
(314) 922-0586
Mailing address
8 WARSEN AVE, SUITE H, WENTZVILLE, MO 63385-4811
(314) 922-0586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014006004
MO
Other
Enumeration date
03/19/2014
Last updated
07/29/2020
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