Organization
WISE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANI ADAN (OWNER)
(612) 443-9032
Entity
Organization
Contact information
Practice address
1132 28TH AVE S STE 101A, MOORHEAD, MN 56560-4420
(612) 443-9032
Mailing address
1132 28TH AVE S STE 101A, MOORHEAD, MN 56560-4420
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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