NPI | 1073270773 |
---|---|
Doing Business As | HENDERSON WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JAMES DAVIN Lab Director 855-955-5428 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
Enumeration Date | 2021-11-17 |
Last Update Date | 2024-02-27 |