Organization
TOTAL WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLISA BROWN MS RD CDE CDN (PRESIDENT)
(631) 666-4297
Entity
Organization
Contact information
Practice address
160 HOWELLS RD, BAY SHORE, NY 11706-5320
(631) 666-4297
Mailing address
160 HOWELLS RD, BAY SHORE, NY 11706-5320
(631) 666-4297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000691-1
NY
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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