| NPI | 1134826712 |
|---|---|
| Doing Business As | AMAZING VICTORY HEALTH AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LAROSE CEO 475-500-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |