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Organization
INDIGENOUS WELLNESS ALLIANCE INC
Active
Organization
INDIGENOUS WELLNESS ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA BILLY-ELLIOTT (CEO)
(707) 234-0086
Entity
Organization
Contact information
Practice address
409 TALMAGE RD, UKIAH, CA 95482-5956
(707) 234-0086
Mailing address
705 N STATE ST # 417, UKIAH, CA 95482-3407
(707) 234-0086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/04/2024
Last updated
12/15/2024
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