Organization
CLOVIS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAM WASKE D.C. (CHIROPRACTOR)
(815) 236-5747
Entity
Organization
Contact information
Practice address
3123 HAMPTON AVE, SAINT LOUIS, MO 63139-2303
(815) 236-5747
Mailing address
4977 OLEATHA AVE, SAINT LOUIS, MO 63139-1224
(815) 236-5747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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