Organization
DESIGN YOUR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMIKA WALL APRN (OWNER & NURSE PRACTITIONER)
(662) 874-5828
Entity
Organization
Contact information
Practice address
7040 WIND STONE BLVD STE 150, OLIVE BRANCH, MS 38654-9090
(662) 874-5828
Mailing address
PO BOX 1663, OLIVE BRANCH, MS 38654-0965
(662) 874-5828
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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