NPI | 1457046534 |
---|---|
Doing Business As | WELLNESS CLINICAL SERVICES, PLLC |
Entity Type | Organization |
Authorized Contact | IASIA S WELLS Owner 910-544-8194 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2023-04-06 |
Last Update Date | 2023-04-06 |