| Sd Wellness Llc | |
|
325 S Riverside Ave Unit 145 Medford OR 97501-0811 | |
| (203) 305-9859 | |
| Not Available |
| Full Name | Sd Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 325 S Riverside Ave Unit 145, Medford, Oregon |
| Authorized Official Name and Position | Shondell Diaz (PHYSICIAN ASSOCIATE) |
| Authorized Official Contact | 2033059859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sd Wellness Llc Po Box 145 Medford OR 97501-0010 Ph: () - | Sd Wellness Llc 325 S Riverside Ave Unit 145 Medford OR 97501-0811 Ph: (203) 305-9859 |
| NPI Number | 1285458851 |
|---|---|
| Provider Enumeration Date | 11/11/2024 |
| Last Update Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285458851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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