| Victorious Wellness, Pllc | |
|
104 Huntington Pl Danville VA 24541-4512 | |
| (757) 729-7281 | |
| Not Available |
| Full Name | Victorious Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 104 Huntington Pl, Danville, Virginia |
| Authorized Official Name and Position | Monica Mamina Kelly-coleman (OWNER) |
| Authorized Official Contact | 7573245985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victorious Wellness, Pllc 104 Huntington Pl Danville VA 24541-4512 Ph: (757) 729-7281 | Victorious Wellness, Pllc 104 Huntington Pl Danville VA 24541-4512 Ph: (757) 729-7281 |
| NPI Number | 1205589017 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205589017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
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