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Organization
WELLNESS & HEALTH CLINIC LLC
Active
Organization
WELLNESS & HEALTH CLINIC LLC
Active
Other names
Wellness & Health Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYKUTTY J THOMAS MD (PHYSICIAN)
(225) 757-6031
Entity
Organization
Contact information
Practice address
9241 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70810-2971
(225) 757-6031
Mailing address
18756 BIENVILLE CT, PRAIRIEVILLE, LA 70769-3240
(225) 939-3131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
09/10/2020
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