| NPI | 1407202005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN VANOVER Owner 941-224-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NC 837) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |