Rejuvecare Clinic

NPI #1285002923 in Kalispell, Montana

Provider Information

NPI Number: 1285002923
Entity Type: Organization
Organization Name: Rejuvecare Clinic
Primary Specialty: Nurse Practitioner
Enumeration Date: Sep 11, 2015
Last Updated: Sep 11, 2015

Practice Location

Address: 77 3RD AVENUE WEST N
City: Kalispell
State: Montana
ZIP Code: 59901-4049
Phone: (406) 240-7396

Authorized Official

Name: SHELLEY SMITH OTOUPALIK
Title: OWNER
Phone: (406) 240-7396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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