| NPI | 1417608183 |
|---|---|
| Doing Business As | LIFEOLOGIE (LIFEOLOGIE MIDLOTHIAN) |
| Entity Type | Organization |
| Authorized Contact | CAMILLE DAVIS HAYES Owner/Operations Manager 214-530-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2023-01-10 |