Organization
WELLNESS ROOTS NEXUS
Active
Other names
Rooted Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LAUREN MAEZ MS, PA-C, RD (OWNER, PHYSICIAN ASSISTANT)
(417) 224-1401
Entity
Organization
Contact information
Practice address
1213 S KIMBROUGH AVE, SPRINGFIELD, MO 65807-1626
(417) 224-1401
Mailing address
3608 W EL CASTILE ST, SPRINGFIELD, MO 65807-5432
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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