Organization
SALON NO. 5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY WITHERSPOON (OWNER)
(314) 438-7176
Entity
Organization
Contact information
Practice address
3821 VAILE AVE, FLORISSANT, MO 63034-2227
(314) 736-4112
Mailing address
3821 VAILE AVE, FLORISSANT, MO 63034-2227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
About Stedi
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