| NPI | 1497168397 |
|---|---|
| Doing Business As | RENAISSANCE HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CHESTER L CARLSON Owner/Medical Director 479-657-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR E5307) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |