| NPI | 1366814741 |
|---|---|
| Doing Business As | EVERGREEN WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH J LEE President 954-937-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP3461) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2022-02-17 |