| NPI | 1144693292 |
|---|---|
| Doing Business As | REGENESIS WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANNA MARIA DOUGLAS Owner 719-428-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990332-NP) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2018-04-18 |