Organization
REBEL WELLNESS, LLC
Active
Other names
Balanced Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER O'DONNELL FNP-C (MEMBER)
(314) 238-4101
Entity
Organization
Contact information
Practice address
1000 N TRUMAN BLVD STE C, CRYSTAL CITY, MO 63019-1311
(636) 638-1017
Mailing address
1000 N TRUMAN BLVD STE C, CRYSTAL CITY, MO 63019-1311
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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