| NPI | 1659078491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA WELLNER Owner 757-416-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-04-17 |