| NPI | 1114420320 |
|---|---|
| Doing Business As | YOUR WELLNESS SOURCES |
| Entity Type | Organization |
| Authorized Contact | MARSHALEE GEORGE Medical Director 301-235-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2022-05-04 |