| NPI | 1407521933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENITA-ANN PATRECE GRYMES Owner 800-681-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X Health & Wellness Coach |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 405300000X Prevention Professional | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-09-25 |