LOGAN VAN VEEN

JOPLIN, MO
NPI1831696996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2016039978)
Enumeration Date2018-04-06
Last Update Date2018-04-06
Business Address
LOGAN VAN VEEN
3950 NEWMAN RD
JOPLIN, MO 64801-1512
Phone number: 866-818-6779
Mailing Address
LOGAN VAN VEEN
3950 NEWMAN RD
JOPLIN, MO 64801-1512
Phone number: