| NPI | 1316628670 |
|---|---|
| Doing Business As | HYDRIGLO HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CAVEL MILLER CEO 800-607-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |