Organization
FIT FOR SERVICE WELLNESS
Active
Other names
Bracane Company
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA NELSON RN (PRESIDENT)
(214) 335-1234
Entity
Organization
Contact information
Practice address
1201 E 15TH ST STE 204, PLANO, TX 75074-6238
(469) 814-0658
(972) 727-6239
Mailing address
1201 E 15TH ST STE 204, PLANO, TX 75074-6238
(469) 814-0658
(972) 727-6239
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3715955
—
TX
05
—
3715963
—
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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