| NPI | 1285191494 |
|---|---|
| Doing Business As | WILMINGTON 1ST WALK-IN |
| Doing Business As | LAVISH WELLNESS AND AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | TAYLOR ASHLEY ROANE BURGE CEO 302-407-5222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2022-11-15 |