Organization
WISE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN TOYOSHIMA L.AC. (ACUPUNCTURIST)
(619) 339-8407
Entity
Organization
Contact information
Practice address
5080 LOVERS LN, SUITE C, PORTAGE, MI 49002-1570
(619) 339-8407
Mailing address
5080 LOVERS LN, SUITE C, PORTAGE, MI 49002-1570
(619) 339-8407
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14827
CA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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