| NPI | 1407437692 |
|---|---|
| Doing Business As | AFFINITY WELL SPA |
| Entity Type | Organization |
| Authorized Contact | EBONY CHATMON Owner 267-264-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-01-31 |