# WISE WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487029070
- **Authorized official:** MELISSA ANN TOYOSHIMA L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (619) 339-8407

## Contact information

- **Practice address:** 5080 LOVERS LN, SUITE C, PORTAGE, MI 49002-1570
- **Practice address phone:** (619) 339-8407
- **Mailing address:** 5080 LOVERS LN, SUITE C, PORTAGE, MI 49002-1570
- **Mailing address phone:** (619) 339-8407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 14827 | CA | Yes |

## Other

- **Enumeration date:** 12/08/2015
- **Last updated:** 12/08/2015