Organization
COVENANT INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA O'DONNELL MCGOWIN DC (OWNER/PHYSICIAN)
(816) 898-6939
Entity
Organization
Contact information
Practice address
1022 NORTHEAST DR, SUITE B, JEFFERSON CITY, MO 65109-2513
(816) 898-6939
Mailing address
1022 NORTHEAST DR, SUITE B, JEFFERSON CITY, MO 65109-2513
(816) 898-6939
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2011000683
MO
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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