Organization
WAUGHS HOLISTIC WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REANNA JOYCE WAUGH (CEO)
(830) 515-2641
Entity
Organization
Contact information
Practice address
823 DELTA AVE, GLADSTONE, MI 49837-1661
(830) 515-2641
Mailing address
823 DELTA AVE, GLADSTONE, MI 49837-1661
(830) 515-2641
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
05/14/2019
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