Northstar Wellness LLC

NPI #1790181360 in Richmond, Missouri

Provider Information

NPI Number
1790181360
Entity Type
Organization
Organization Name
Northstar Wellness LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Nov 10, 2014
Last Updated
Nov 10, 2014

Practice Location

Address
810 E MAIN ST
ZIP Code
64085-1908
Phone
(816) 682-5819

Authorized Official

Name
MR. RAYMOND WALLER SMITH, LMT
Title
MEMBER
Phone
(816) 682-5819

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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