NPI | 1033720826 |
---|---|
Doing Business As | WELLNESS & HEALTH CLINIC LLC |
Entity Type | Organization |
Authorized Contact | MARYKUTTY J THOMAS Physician 225-757-6031 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-09-10 |