| NPI | 1063158152 |
|---|---|
| Doing Business As | THE ULTIMATE EXPERIENCE HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KEISHA DELEON-PARIS Owner 720-982-3887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-01-26 |