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Organization
WELLNESS WITHIN
Active
Organization
WELLNESS WITHIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIANA RODRIGUEZ D.O. (PHYSICIAN & OWNER)
(228) 206-6843
Entity
Organization
Contact information
Practice address
2202 25TH AVE STE B, GULFPORT, MS 39501-4520
(228) 206-6843
(228) 206-6843
Mailing address
PO BOX 253, GULFPORT, MS 39502-0253
(228) 206-6843
(228) 357-9366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23342
MS
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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