| NPI | 1013644616 |
|---|---|
| Doing Business As | SLEEP & DIET RESTORATION |
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN POWERS Manager 910-212-6548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-09-11 |