Organization
WELL BALANCED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HALEY NICOLE O'CONNOR RD, LD (OWNER/CEO)
(251) 508-5380
Entity
Organization
Contact information
Practice address
171 WILLIAMS ST, MOBILE, AL 36606-1444
(251) 508-5380
Mailing address
171 WILLIAMS ST, MOBILE, AL 36606-1444
(251) 508-5380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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