Star C. Gravette, L.AC

NPI #1649495185 in Swansea, Illinois

Provider Information

NPI Number
1649495185
Entity Type
Individual
Name
Star C. Gravette, L.AC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Acupuncturist
Credential
L.AC
Enumeration Date
Apr 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1463 CANTWELL LN APT 8
ZIP Code
62226-2164
Phone
(618) 416-1557

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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