| NPI | 1235976564 |
|---|---|
| Doing Business As | LOVE AND LIFE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | WALETTRA ENOCH CEO/Owner/Operator 215-397-7104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |