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Organization
NP-LIFESTYLE-CURE LLC
Active
Organization
NP-LIFESTYLE-CURE LLC
Active
Other names
WellnessDirect.Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONIELLE GREEN MD (MEDICAL DIRECTOR)
(909) 279-5996
Entity
Organization
Contact information
Practice address
9640 CENTER AVE STE 120, RANCHO CUCAMONGA, CA 91730-5809
(909) 279-5996
(844) 533-0781
Mailing address
6270 TERRACINA AVE, RANCHO CUCAMONGA, CA 91737-6916
(909) 279-5996
(844) 533-0781
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
05/19/2026
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