360 BODY WELLNESS INC

GLEN CARBON, IL
NPI1679024228
Entity TypeOrganization
Authorized ContactPHILIP S DUDAK
Family Nurse Practitioner
314-753-2233
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2016-10-19
Last Update Date2016-10-19
Business Address
360 BODY WELLNESS INC
3407 IL STATE ROUTE 157
GLEN CARBON, IL 62034
Phone number: 618-288-3610
Mailing Address
360 BODY WELLNESS INC
3407 IL STATE ROUTE 157
GLEN CARBON, IL 62034
Phone number: 618-288-3610
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