Organization
BIRTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HENMAN CNM (DIRECTOR)
(314) 369-8637
Entity
Organization
Contact information
Practice address
769 W TERRA LN, O FALLON, MO 63366-2432
(314) 369-8637
(877) 533-4456
Mailing address
27880 BEVERLY DR, WRIGHT CITY, MO 63390-4449
(314) 369-8637
(877) 533-4456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
100863
MO
367A00000X
Advanced Practice Midwife
Primary
2010015977
MO
Other
Enumeration date
08/30/2012
Last updated
09/11/2012
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