WELLNESS CLINIC AND MEDICAL SPA LLC

PURCELL, OK
NPI1851717797
Entity TypeOrganization
Authorized ContactDIANE DEWBRE
Nurse Practitioner, Owner
405-527-4704
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  49456)
Enumeration Date2014-03-17
Last Update Date2019-10-30
Business Address
WELLNESS CLINIC AND MEDICAL SPA LLC
128 W MAIN ST
PURCELL, OK 73080-4220
Phone number: 405-527-4704
Mailing Address
WELLNESS CLINIC AND MEDICAL SPA LLC
PO BOX 269031
OKLAHOMA CITY, OK 73126-9031
Phone number: 877-485-4474