IZAAK COSCIA

DES PERES, MO
NPI1225852478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MO  2023003589)
Enumeration Date2024-11-14
Last Update Date2024-11-14
Business Address
IZAAK COSCIA LMT
12139 MANCHESTER RD
DES PERES, MO 63131-4310
Phone number: 202-039-4743
Mailing Address
IZAAK COSCIA LMT
1222 LUCAS AVE APT 510
SAINT LOUIS, MO 63103-1942
Phone number: 203-947-4316