NPI | 1316767916 |
---|---|
Doing Business As | JLM WELLNESS |
Entity Type | Organization |
Authorized Contact | LUIS MANUEL GOMEZ HERNANDEZ Nurse Practitioner In Charge 786-578-3797 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-10-16 |
Last Update Date | 2024-10-16 |