Organization
JENSEN HEALTH ENTERPRISES
Active
Other names
Nutrition Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOEL C JENSEN L.AC. (MANAGING MEMBER)
(636) 386-3333
Entity
Organization
Contact information
Practice address
116B HOLLOWAY RD, BALLWIN, MO 63011-3215
(636) 386-3333
(636) 527-2570
Mailing address
116B HOLLOWAY RD, BALLWIN, MO 63011-3215
(636) 386-3333
(636) 527-2570
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
MO
171100000X
Acupuncturist
Primary
20120005055
MO
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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