Organization
REJUVECARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY SMITH OTOUPALIK (OWNER)
(406) 240-7396
Entity
Organization
Contact information
Practice address
77 3RD AVENUE WEST N, KALISPELL, MT 59901-4049
(406) 240-7396
Mailing address
7473 GROOMS RD, MISSOULA, MT 59808-9798
(406) 240-7396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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