VISANA WELLNESS, LLC

BROOKINGS, OR
NPI1427293349
Entity TypeOrganization
Authorized ContactTRACEY STEPHEN KATHER
Owner
541-251-1010
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: OR  200250089NP)
Enumeration Date2008-12-05
Last Update Date2008-12-05
Business Address
VISANA WELLNESS, LLC
603 HEMLOCK STREET 3B
BROOKINGS, OR 97415-9999
Phone number: 541-469-9100
Mailing Address
VISANA WELLNESS, LLC
PO BOX 6945
BROOKINGS, OR 97415-0353
Phone number: 541-469-9100