Organization
BACK TO LIFE WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCETON NGUYEN DC (PRESIDENT)
(310) 872-3588
Entity
Organization
Contact information
Practice address
445 W 7TH ST STE C, SAN PEDRO, CA 90731-3216
(310) 755-0324
Mailing address
445 W 7TH ST STE C, SAN PEDRO, CA 90731-3216
(310) 755-0324
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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