Organization
EMBODYMENT WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CHRISTNER R.N. (PRESIDENT, CEO)
(985) 237-0074
Entity
Organization
Contact information
Practice address
3916 HIGHWAY 22, SUITE 2, MANDEVILLE, LA 70471-7306
(985) 237-0074
Mailing address
PO BOX 9028, MANDEVILLE, LA 70470-9028
(985) 237-0074
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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