Organization
WELLQUEST LIFESTYLE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE CLARK (MEDICAL BILLING ASSOCIATE)
(754) 205-6154
Entity
Organization
Contact information
Practice address
345 E ROBERTSON ST, BRANDON, FL 33511-5253
(813) 404-6006
Mailing address
110 MITCHELL DR, BRANDON, FL 33511-6831
(813) 404-6006
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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