Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1952827768 |
| LBN Legal business name | COLLINS WELLNESS CENTER, INC |
| Authorized official | DIANE COLLINS - (HOLISTIC HEALTH ADVOCATE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/15/2017 |
| Last updated | 08/15/2017 - About 9 years ago |
| Identifiers | n/a |
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