Wellness Diagnostics & Medispa, INC

NPI #1205299617 in Colton, California

Provider Information

NPI Number: 1205299617
Entity Type: Organization
Organization Name: Wellness Diagnostics & Medispa, INC
Primary Specialty: General Practice
Enumeration Date: Apr 2, 2016
Last Updated: Apr 2, 2016

Practice Location

Address: 2751 RECHE CANYON RD
Address 2: SPC 143
City: Colton
State: California
ZIP Code: 92324-9570
Phone: (808) 387-3302

Authorized Official

Name: GLORIA MARIE F K TUMBAGA, MD
Title: OWNER
Phone: (808) 387-3302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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