NPI | 1437498342 |
---|---|
Doing Business As | ADVANCED HEALTH & WELLNESS FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | LESLIE LEE Owner 731-968-2233 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12374) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2013-02-12 |