| NPI | 1215752076 | 
|---|---|
| Doing Business As | WELLB4LIFE | 
| Entity Type | Organization | 
| Authorized Contact | DR. COLLEEN GALVIN Manager, Practioner 415-404-2567 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical | 
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine | 
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2024-11-18 | 
| Last Update Date | 2024-11-22 |