NPI | 1356077697 |
---|---|
Doing Business As | NAVA HEALTH AND VITALITY CENTER |
Former Legal Business Name | INTEGRATED WELLNESS, MD, LLC |
Entity Type | Organization |
Authorized Contact | TAMMY MUIR Compliance Officer 410-910-5959 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2022-07-28 |
Last Update Date | 2023-12-08 |