NPI | 1235723321 |
---|---|
Doing Business As | MIND OVER MATTER RX |
Entity Type | Organization |
Authorized Contact | JESSICA RAMALHO GOULART Np 617-480-1371 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2021-03-01 |
Last Update Date | 2022-01-03 |