| NPI | 1124616354 |
|---|---|
| Doing Business As | DELTA LIFE THERAPEUTIC SOLUTIONS PLLC |
| Entity Type | Organization |
| Authorized Contact | EMELJA QUINN CEO 662-458-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |