LONGEVITY VEIN CLINIC LLC

BALLWIN, MO
NPI1033902994
Entity TypeOrganization
Authorized ContactAMEEN M BAJWA
CFO
314-954-4005
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2025-05-23
Last Update Date2025-05-23
Business Address
LONGEVITY VEIN CLINIC LLC
15421 CLAYTON RD STE G1
BALLWIN, MO 63011-3161
Phone number: 314-639-9475
Mailing Address
LONGEVITY VEIN CLINIC LLC
15421 CLAYTON RD STE G1
BALLWIN, MO 63011-3161
Phone number: 314-639-9475
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