WELLNESS DIAGNOSTICS
Ambulatory Health at Emerald Bay Rd, South Lake Tahoe, CA

License number
California K11111
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DAVID SMITH
Title: CFO
Phone: (904) 791-6471
Address
Address
854 Emerald Bay Rd STE C, South Lake Tahoe, CA 96150
National Provider ID: 1972874303
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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