Evergreen Wellnes Center

NPI #1811276405 in Wichita, Kansas

Provider Information

NPI Number: 1811276405
Entity Type: Organization
Organization Name: Evergreen Wellnes Center
Primary Specialty: Point of Service
Enumeration Date: Aug 12, 2011
Last Updated: Aug 12, 2011

Practice Location

Address: 9235 E HARRY ST
City: Wichita
State: Kansas
ZIP Code: 67207-5073
Phone: (316) 691-8811

Authorized Official

Name: DR. QIZHI GAO
Title: PRESIDENT
Phone: (913) 871-6308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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