| NPI | 1407633902 |
|---|---|
| Doing Business As | RADIANCE HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | AMIE FABAH Dr Ezeogu 816-510-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-10-27 |