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Organization

OPTIMA NATURAL HEALTH & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTORIA M KES DC (OWNER)
(715) 822-2500
Entity
Organization

Contact information

Practice address
1320 2ND AVE, CUMBERLAND, WI 54829
(715) 822-2500
Mailing address
PO BOX 212, CUMBERLAND, WI 54829-0212
(715) 822-2500

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4251-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38186000
WI
Enumeration date
11/10/2009
Last updated
11/10/2009
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