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Organization
THE WELL COLLECTIVE, LLC
Active
Organization
THE WELL COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIKA BROWN RD, MS, CSSD, CEDS-C (OWNER/REGISTERED DIETICIAN)
(505) 239-0431
Entity
Organization
Contact information
Practice address
4101 PASEO DEL NORTE NE, ALBUQUERQUE, NM 87113
(505) 239-0431
Mailing address
9501 GIDDINGS AVE NE, ALBUQUERQUE, NM 87109-6412
(505) 239-0431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/25/2024
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