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Organization
WELLNESS SOURCE LLC
Active
Organization
WELLNESS SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALEE GEORGE (DIRECTOR)
(301) 235-0060
Entity
Organization
Contact information
Practice address
4301 GARDEN CITY DR STE 304, HYATTSVILLE, MD 20785-6105
(301) 235-0060
(240) 324-7720
Mailing address
4301 GARDEN CITY DR STE 304, HYATTSVILLE, MD 20785-6105
(240) 324-7720
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
—
—
133N00000X
Nutritionist
—
—
207R00000X
Internal Medicine Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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