Organization
JN WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE DELL (OFFICE MANAGER)
(314) 207-0292
Entity
Organization
Contact information
Practice address
4225 BAYLESS AVE, SAINT LOUIS, MO 63123-7513
(314) 544-5600
(314) 544-5696
Mailing address
4225 BAYLESS AVE, SAINT LOUIS, MO 63123-7513
(314) 544-5600
(314) 544-5696
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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