| NPI | 1336690379 |
|---|---|
| Doing Business As | ABUNDANT WELLNESS MD LLC |
| Entity Type | Organization |
| Authorized Contact | LORETTA A. FARRELL President 918-794-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-12-12 |