Wellness Primary Care PLLC
Clinic/Center in Orange, CT. Organization (NPI-2).
NPI number1982179784
StatusActive
Last updated in NPPESOct 8, 2018
Details
- NPI
- 1982179784
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellness Primary Care PLLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2018
- Last updated
- Oct 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
291 S Lambert Rd Ste 5Orange, CT 06477-3559
Phone 203-674-9433
Mailing address
291 S Lambert Rd Ste 5Orange, CT 06477-3559
Phone 203-674-9433
Authorized official
Vivian Huynh
Owner/Practitioner
2036749433
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