Organization
B WELL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVETTE BLAHA (MANAGER)
(614) 245-8582
Entity
Organization
Contact information
Practice address
5031 FOREST DR, SUITE B, NEW ALBANY, OH 43054-7088
(614) 245-8582
Mailing address
5031 FOREST DR, SUITE B, NEW ALBANY, OH 43054-7088
(614) 245-8582
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
OH
Other
Enumeration date
05/24/2011
Last updated
07/21/2022
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