Jan Nelson Np-C, Dba, Balanced Wellness Medical Clinic

NPI #1427450535 in Liberty Lake, Washington

Provider Information

NPI Number: 1427450535
Entity Type: Organization
Organization Name: Jan Nelson Np-C, Dba, Balanced Wellness Medical Clinic
Primary Specialty: General Practice
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 1328 N STANFORD LN
Address 2: 101
City: Liberty Lake
State: Washington
ZIP Code: 99019-5034
Phone: (509) 891-7119

Authorized Official

Name: JANICE NELSON
Title: OWNER
Phone: (208) 651-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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