| NPI | 1316675838 |
|---|---|
| Doing Business As | THIRD WARD WELLNESS CLINIC / INCOGNITO SPA CLINIC |
| Entity Type | Organization |
| Authorized Contact | LA TASHA KRAUTH Director 346-473-5945 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2024-03-22 |