Organization
BESPOKEN WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI WADDY (SENIOR BUSINESS CONSULTANT)
(703) 947-0382
Entity
Organization
Contact information
Practice address
1010 E PARKERVILLE RD, CEDAR HILL, TX 75104-7100
(469) 806-0857
Mailing address
PO BOX 74381, NORTH CHESTERFIELD, VA 23236-0007
(703) 947-0382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
08/13/2024
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