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Organization
WELLNESS DIAGNOSTICS & MEDISPA, INC
Active
Organization
WELLNESS DIAGNOSTICS & MEDISPA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA MARIE F K TUMBAGA MD (OWNER)
(808) 387-3302
Entity
Organization
Contact information
Practice address
2751 RECHE CANYON RD, SPC 143, COLTON, CA 92324-9570
(808) 387-3302
Mailing address
2751 RECHE CANYON RD, SPC 143, COLTON, CA 92324-9570
(808) 387-3302
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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