| NPI | 1154051639 |
|---|---|
| Doing Business As | BLUEGRASS NATURAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | STEPHEN J DAVIS Owner 714-393-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-12-06 |