| Primera Wellness Llc | |
|
1603 Babcock Rd Ste 238-2 San Antonio TX 78229-4708 | |
| (210) 563-3779 | |
| (951) 462-1161 |
| Full Name | Primera Wellness Llc |
|---|---|
| Speciality | Nutritionist |
| Location | 1603 Babcock Rd Ste 238-2, San Antonio, Texas |
| Authorized Official Name and Position | Jodi Bennett (ADMINISTRATOR) |
| Authorized Official Contact | 9514232202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primera Wellness Llc 6956 Indiana Ave Ste 5 Riverside CA 92506-4109 Ph: (951) 423-2202 | Primera Wellness Llc 1603 Babcock Rd Ste 238-2 San Antonio TX 78229-4708 Ph: (210) 563-3779 |
| NPI Number | 1154945913 |
|---|---|
| Provider Enumeration Date | 06/07/2020 |
| Last Update Date | 06/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154945913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Primary |
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