NPI | 1275334500 |
---|---|
Former Legal Business Name | MIGRAINE RELIEF AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | BROOKE PHENICIE Owner 260-243-1440 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-03-22 |
Last Update Date | 2025-06-09 |