Organization
DIVINE WELLNESS WALK IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLENKA ALLA MIROSLAVNA-STEFANIYUK (OWNER)
(724) 518-0992
Entity
Organization
Contact information
Practice address
3019 MARYLAND AVE, N VERSAILLES, PA 15137-1485
(724) 518-0992
Mailing address
181 CHARLES DR, IRWIN, PA 15642-1914
(724) 518-0992
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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