| NPI | 1316662190 |
|---|---|
| Doing Business As | NEW LIFE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | FLORENCE O FAKAYODE CEO/Owner 240-277-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |