NPI | 1427840503 |
---|---|
Doing Business As | AJA HEALING AND MASIKA HEATH WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | SHANICE BAQUET Dr. Holistic Medicine 262-457-9815 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Enumeration Date | 2025-05-22 |
Last Update Date | 2025-05-22 |