Organization
REJUV INTEGRATIVE MEDICAL PRACTICE SHAWN C SNIDER
Active
Other names
Liferx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN CHRISTOPHER SNIDER CNP (OWNER)
(309) 622-3002
Entity
Organization
Contact information
Practice address
405 N HERSHEY RD, BLOOMINGTON, IL 61704-3527
(309) 622-3002
(309) 263-4611
Mailing address
405 N HERSHEY RD, BLOOMINGTON, IL 61704-3527
(309) 622-3002
(309) 263-4611
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
036.110856
IL
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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