| NPI | 1841690831 |
|---|---|
| Doing Business As | EAST WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNY LYNN WITT Office Manager 918-787-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 3331) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |