| NPI | 1184478455 |
|---|---|
| Doing Business As | JLF WELLNESS HAVEN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L FEAR Owner / Nurse Practitioner 602-500-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-07-18 |