| NPI | 1780078360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUS RUTLIN Practitioner 314-303-3594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174400000X Specialist (Licence: MO 2014028896) | |
| 1744P3200X Specialist, Prosthetics Case Management (Licence: MO 2014006673) | |
| 174H00000X Health Educator | |
| 175F00000X Naturopath | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-07-30 |