NPI | 1396635017 |
---|---|
Doing Business As | WELLNESS LANE |
Entity Type | Organization |
Authorized Contact | MAYELIN TORRES OQUENDO Owner 786-328-7346 |
Organization Subpart ? | No |
Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
Enumeration Date | 2025-07-04 |
Last Update Date | 2025-07-04 |