Provider Demographics
NPI:1902379324
Name:MUNSTER, RENA ABIGAIL HOFFMAN (L AC)
Entity Type:Individual
Prefix:
First Name:RENA
Middle Name:ABIGAIL HOFFMAN
Last Name:MUNSTER
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9248 OLD BONHOMME RD
Mailing Address - Street 2:
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-4323
Mailing Address - Country:US
Mailing Address - Phone:314-609-4143
Mailing Address - Fax:
Practice Address - Street 1:1034 S BRENTWOOD BLVD STE 1601
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63117-1216
Practice Address - Country:US
Practice Address - Phone:240-360-1712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021036431171100000X
DCAC500330171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist