NPI | 1033674841 |
---|---|
Doing Business As | SEQUOIA NATURAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JEREMY MICHAEL MIKOLAI Medical Director/CEO 507-327-4451 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-02-06 |