Organization
TOTAL INTEGRATED WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WILLIAM JENISON D.C (PRESEDENT)
(775) 825-3625
Entity
Organization
Contact information
Practice address
4600 KIETZKE LN, M 249, RENO, NV 89502-5033
(775) 825-3625
Mailing address
4600 KIETZKE LN, M 249, RENO, NV 89502-5033
(775) 825-3625
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
B01357
NV
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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