| NPI | 1306071139 |
|---|---|
| Doing Business As | PROFESSIONAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DIMITRIS KOLLAROS General Partner 575-640-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |