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Organization
WYNTER WELLNESS GROUP LLC
Active
Organization
WYNTER WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA WYNTER RUSSELL (OWNER/PROVIDER)
(917) 579-6305
Entity
Organization
Contact information
Practice address
1017 S FAIRHILL ST, PHILADELPHIA, PA 19147-4007
(215) 690-1336
(215) 392-3462
Mailing address
1017 S FAIRHILL ST, PHILADELPHIA, PA 19147-4007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
04/12/2022
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