Organization
CREO WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA MALLORY (PRESIDENT)
(804) 527-0518
Entity
Organization
Contact information
Practice address
3460 MAYLAND CT, HENRICO, VA 23233-1449
(804) 527-0815
(804) 527-0915
Mailing address
2924 EMERYWOOD PKWY STE 103, RICHMOND, VA 23294-3746
(804) 527-0815
(804) 527-0915
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
0101232522
VA
Other
Enumeration date
01/20/2016
Last updated
11/30/2018
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