Individual
MARY STURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 SHARI DR APT B, PECULIAR, MO 64078-8234
(314) 809-2268
Mailing address
226 SHARI DR APT B, PECULIAR, MO 64078-8234
(314) 809-2268
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2001030308
MO
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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