NPI | 1225860034 |
---|---|
Doing Business As | NOURISHED LIFE WELLNESS |
Entity Type | Organization |
Authorized Contact | ANILU MACEDO Owner 786-222-9609 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-08-19 |