Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1114222452 |
| LBN Legal business name | WELLSPRING LIFE SOLUTIONS, INC. |
| Authorized official | LYNDA BARRON - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/18/2011 |
| Last updated | 01/18/2011 - About 15 years ago |
| Identifiers | n/a |
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