Organization
HYDRATION WELLNESS BAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME OAKLEY NP (NURSE PRACTITIONER)
(720) 917-9149
Entity
Organization
Contact information
Practice address
13530 NORTHGATE ESTATES DR STE 110, COLORADO SPRINGS, CO 80921-7651
(719) 358-6000
Mailing address
13530 NORTHGATE ESTATES DR STE 110, COLORADO SPRINGS, CO 80921-7651
(719) 358-6000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
04/12/2023
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