FREDERICK CUSTOMEYEZ IN ST. LOUIS

SAINT LOUIS, MO
NPI1912603507
Entity TypeOrganization
Authorized ContactMELISSA FREDERICK
Owner
401-584-3939
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2023-02-06
Last Update Date2025-07-03
Business Address
FREDERICK CUSTOMEYEZ IN ST. LOUIS
1834 CRAIG RD
SAINT LOUIS, MO 63146-4712
Phone number: 401-584-3939
Mailing Address
FREDERICK CUSTOMEYEZ IN ST. LOUIS
9278 PARADISE DR
PANAMA CITY BEACH, FL 32413-9625
Phone number: 401-584-3939
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