Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Corporate Health |
261QC1800X |
| NPI # | 1710933072 |
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| LBN Legal business name | WELLNESS COMPANY INC | ||||||||
| Authorized official | RANDALL LINN - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/26/2006 | ||||||||
| Last updated | 11/03/2010 - About 16 years ago | ||||||||
| Identifiers |
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