| NPI | 1366120495 |
|---|---|
| Doing Business As | SIEBITI WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KADDIE KALLON CEO 240-899-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |