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 |