Light Works Wellness Centre

NPI #1174789150 in Bunnell, Florida

Provider Information

NPI Number
1174789150
Entity Type
Organization
Organization Name
Light Works Wellness Centre
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Jul 30, 2008
Last Updated
Jul 30, 2008

Practice Location

Address
4601 E HIGHWAY 100
Address 2
SUITE B-8
State
Florida
ZIP Code
32110-9017
Phone
(386) 437-5992

Authorized Official

Name
MS. CAROLYN J RANDOLPH, L.M.T.
Title
PRINCIPAL
Phone
(386) 931-2212

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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