Rebel Wellness, LLC
NPI #1568157139 in Crystal City, Missouri
Provider Information
- NPI Number
- 1568157139
- Entity Type
- Organization
- Organization Name
- Rebel Wellness, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 10, 2023
- Last Updated
- Apr 10, 2023
Practice Location
- Address
- 1000 N TRUMAN BLVD STE C
- City
- Crystal City
- State
- Missouri
- ZIP Code
- 63019-1311
- Phone
- (636) 638-1017
Authorized Official
- Name
- DR. JENNIFER O'DONNELL, FNP-C
- Title
- MEMBER
- Phone
- (314) 238-4101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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