Individual
REUBEN ARVELL EASTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
630 SAINT BRENDAN LN, FLORISSANT, MO 63031-6902
(314) 839-0595
Mailing address
630 SAINT BRENDAN LN, FLORISSANT, MO 63031-6902
(314) 839-0595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
T980657983
MO
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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