NPI | 1043548142 |
---|---|
Doing Business As | BODYWORX DIABETES EDUCATION & LIFESTYLE MANAGEMENT |
Entity Type | Organization |
Authorized Contact | JODIE DAWN BARNETT Owner/Director 316-771-7475 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 44997) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2009-12-01 |