Organization
FREEDOM WELLNESS, LLC
Active
Other names
Freedom Training Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVON MILLER LPN (DIRECTOR)
(757) 575-8627
Entity
Organization
Contact information
Practice address
337 EDWIN DR STE 200, VIRGINIA BEACH, VA 23462-4560
(757) 575-8627
Mailing address
5313 MACCHONANCHY ST, VIRGINIA BEACH, VA 23464-8114
(757) 575-8627
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
01/13/2021
Last updated
01/13/2021
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