NPI | 1063246668 |
---|---|
Other Name | H&G WELLNESS, P.S. |
Entity Type | Organization |
Authorized Contact | KATYA ZAVGORODNIY Credentialing Manager 206-327-7025 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X |
Enumeration Date | 2024-08-27 |
Last Update Date | 2024-12-12 |