Organization
EXCLUSIVE WELLNESS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA NOBLES (OWNER)
(314) 629-6497
Entity
Organization
Contact information
Practice address
680 MEADOWGRASS DR, FLORISSANT, MO 63033-3813
(314) 629-6497
Mailing address
680 MEADOWGRASS DR, FLORISSANT, MO 63033-3813
(314) 629-6497
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
J035159009
MO
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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