| NPI | 1427823459 |
|---|---|
| Doing Business As | WELLSPACE HEALTH SPECIALTY |
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-550-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |