NPI | 1043791411 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANDA DOMANGO BROWN President/Personal Trainer 504-975-0815 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2018-08-23 |
Last Update Date | 2018-08-23 |