Tulaya Wellness Corp | |
6789 N Green Bay Ave Glendale WI 53209-3472 | |
(262) 751-3730 | |
Not Available |
Full Name | Tulaya Wellness Corp |
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Speciality | Clinic/center - Multi-specialty |
Location | 6789 N Green Bay Ave, Glendale, Wisconsin |
Authorized Official Name and Position | Gina Negrette (OWNER) |
Authorized Official Contact | 2627513730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tulaya Wellness Corp 345 W Ravine Baye Rd Bayside WI 53217-1336 Ph: (262) 751-3730 | Tulaya Wellness Corp 6789 N Green Bay Ave Glendale WI 53209-3472 Ph: (262) 751-3730 |
NPI Number | 1659735504 |
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Provider Enumeration Date | 04/07/2016 |
Last Update Date | 04/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659735504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 5214820 (Wisconsin) | Primary |
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