| NPI | 1184238685 |
|---|---|
| Former Legal Business Name | ESSENTIAL HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ANGELA E DYKES Owner 803-282-9481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-06-02 |