NEW BALANCE LAKE ST. LOUIS
Suppliers in Saint Peters, MO

License number
Missouri 013370
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: MR. CHAD LOUIS BROWN C.PED
Title: CERTIFIED PEDORTHIST
Phone: (636) 561-2204
Address
Address
21 Meadows Circle Dr SUITE 314, Saint Peters, MO 63367
National Provider ID: 1114165263
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NEW BALANCE LAKE ST. LOUIS at bizstanding.com

New Balance Lake St. Louis

Saint Peters, MO

Status:
Inactive
Industry:
Ret Shoes
Registration:
Jul 29, 2008
Inactive since:
Jul 29, 2018
Addresses:
21 Mdw Cir Dr STE 314, Lake Saint Louis, MO 63367 (Physical)
21 Mdw Cir Dr, Saint Peters, MO 63367
State ID:
X00910150
Business type:
Fictitious Name
Founders:
Chad L. Brown (Certified Pedorthist, Principal),Ransome Brown (Founder),Lois Brown (Founder)

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