| Iaomai Wellness Center, Llc | |
|
5252 Olde Towne Rd Ste C Williamsburg VA 23188-1910 | |
| (630) 936-8747 | |
| Not Available |
| Full Name | Iaomai Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5252 Olde Towne Rd Ste C, Williamsburg, Virginia |
| Authorized Official Name and Position | Nathaniel Isaac (OWNER) |
| Authorized Official Contact | 6309368747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iaomai Wellness Center, Llc Po Box 6561 Williamsburg VA 23188-5225 Ph: () - | Iaomai Wellness Center, Llc 5252 Olde Towne Rd Ste C Williamsburg VA 23188-1910 Ph: (630) 936-8747 |
| NPI Number | 1902599640 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902599640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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