Organization
WILDSONG WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQULYN LAUER-GLEBOV LAX (ACUPUNCTURIST)
(715) 736-1014
Entity
Organization
Contact information
Practice address
5 E EAU CLAIRE ST, RICE LAKE, WI 54868-1747
(715) 736-1014
(715) 736-1014
Mailing address
2192 COMO AVE, SAINT PAUL, MN 55108-1810
(715) 736-1014
(715) 736-1014
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
55-830
WI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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