| NPI | 1619195740 |
|---|---|
| Doing Business As | WELL OF HEALING MOBILE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELA COASTON Administrator 909-463-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-07-21 |