NPI | 1164865416 |
---|---|
Doing Business As | FAMILY WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 200400430) |
Enumeration Date | 2013-04-16 |
Last Update Date | 2013-04-16 |