| Divine Longevity and Wellness | |
|
106 Four Seasons Shopping Ctr Ste 110 Chesterfield MO 63017-3173 | |
| (314) 514-5364 | |
| Not Available |
| Full Name | Divine Longevity and Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 106 Four Seasons Shopping Ctr Ste 110, Chesterfield, Missouri |
| Authorized Official Name and Position | Khashayar John Arshadi (OWNER) |
| Authorized Official Contact | 3145145364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Longevity and Wellness 106 Four Seasons Shopping Ctr Ste 110 Chesterfield MO 63017-3173 Ph: (314) 514-5364 | Divine Longevity and Wellness 106 Four Seasons Shopping Ctr Ste 110 Chesterfield MO 63017-3173 Ph: (314) 514-5364 |
| NPI Number | 1952232480 |
|---|---|
| Provider Enumeration Date | 05/26/2026 |
| Last Update Date | 05/26/2026 |
| Certification Date | 05/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952232480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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