| NPI | 1043848062 |
|---|---|
| Doing Business As | THRIVE WELLNESS CENTER FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HUDDLESTON Physician Assistant 818-470-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |