Back to Life Wellness Center Inc.
NPI #1629613971 in San Pedro, California
Provider Information
- NPI Number
- 1629613971
- Entity Type
- Organization
- Organization Name
- Back to Life Wellness Center Inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 11, 2019
- Last Updated
- Nov 11, 2019
Practice Location
- Address
- 445 W 7TH ST STE C
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-3216
- Phone
- (310) 755-0324
Authorized Official
- Name
- PRINCETON NGUYEN, DC
- Title
- PRESIDENT
- Phone
- (310) 872-3588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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