| Wholesome Community Members Club Inc | |
|
6309 Van Nuys Blvd Ste 102 Van Nuys CA 91401-6629 | |
| (818) 239-9586 | |
| Not Available |
| Full Name | Wholesome Community Members Club Inc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 6309 Van Nuys Blvd Ste 102, Van Nuys, California |
| Authorized Official Name and Position | Melvin Douglas Mitchell (NURSE PRACTITIONER) |
| Authorized Official Contact | 8182399586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholesome Community Members Club Inc Po Box 1763 Sun Valley CA 91353-1763 Ph: (818) 239-9586 | Wholesome Community Members Club Inc 6309 Van Nuys Blvd Ste 102 Van Nuys CA 91401-6629 Ph: (818) 239-9586 |
| NPI Number | 1396210373 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396210373 | NPI | - | NPPES |
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