| NPI | 1376964437 |
|---|---|
| Doing Business As | ESSENTIAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ANGELE LYNETTE JACKSON Director 702-279-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20131725272) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |