Organization
WELLNESSCLINIC ON WHEELS
Active
Other names
AFTERHOURS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EL AGATHE ASOPO TEMBENG APRN (OWNER)
(202) 834-7722
Entity
Organization
Contact information
Practice address
1747 FORT SMITH BLVD, DELTONA, FL 32725-3728
(202) 834-7722
Mailing address
1747 FORT SMITH BLVD, DELTONA, FL 32725-3728
(202) 834-7722
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
09/09/2022
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