Organization
WELLPOINT HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY FLICKNER-GARVEY RD (REGISTERED DIEITITAN/ OWNER)
(413) 374-2555
Entity
Organization
Contact information
Practice address
85 POST OFFICE PARK, WILBRAHAM, MA 01095-1247
(413) 374-2555
Mailing address
12 /COOLEY DR, WILBRAHAM, MA 01095
(413) 374-2555
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
914
MA
133V00000X
Registered Dietitian
NU914
MA
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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