Organization
WELLNESS MANAGEMENT CHIROPRACTIC & MEDICAL CLINIC INC.
Active
Parent organization
YES
Other names
Thornell Mitchell
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MS. GLORIA D KENNISON (OFFICE MANAGER)
(337) 433-1919
Entity
Organization
Contact information
Practice address
2121 LAKE ST, LAKE CHARLES, LA 70601-7103
(337) 433-1919
(337) 433-1928
Mailing address
2121 LAKE ST, LAKE CHARLES, LA 70601-7103
(337) 433-1919
(337) 433-1928
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1137
LA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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