Organization
WELLNESS RESTORATION CENTERS OF MISSOURI
Active
Parent organization
VAN NESS ENTREPRISES, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN NESS ENTREPRISES, LLP
Authorized official
RANDEE P VAN NESS MS (CEO)
(719) 651-5102
Entity
Organization
Contact information
Practice address
6060 TELEGRAPH RD, SAINT LOUIS, MO 63129-4762
(314) 846-8840
(314) 846-8840
Mailing address
6060 TELEGRAPH RD, SAINT LOUIS, MO 63129-4762
(314) 846-8800
(314) 846-8840
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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