Restoration Wellness, LLC

NPI #1962953810 in Wasilla, Alaska

Provider Information

NPI Number
1962953810
Entity Type
Organization
Organization Name
Restoration Wellness, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 16, 2016
Last Updated
Dec 30, 2016

Practice Location

Address
5805 E COLUMBUS WAY
State
Alaska
ZIP Code
99654-7831
Phone
(907) 376-7300

Authorized Official

Name
LYDIA M PETERSEN, ANP
Title
OWNER
Phone
(907) 376-7300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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