| NPI | 1003421074 |
|---|---|
| Doing Business As | MASSAGEBYWEN PLLC |
| Entity Type | Organization |
| Authorized Contact | WENDELL OLIVER DAVIS CEO 347-463-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |