Organization
PURSUITWELL, LLC
Active
Organization
PURSUITWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATALEE DEIGHTON RDN (OWNER/RDN)
(734) 968-3599
Entity
Organization
Contact information
Practice address
14997 ALEXANDER ST, LIVONIA, MI 48154-4051
(734) 968-3599
Mailing address
14997 ALEXANDER ST, LIVONIA, MI 48154-4051
(734) 968-3599
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518335306
INDIVIDUAL NPE
—
Enumeration date
01/11/2023
Last updated
01/11/2023
Update your record
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