NPI | 1437885290 |
---|---|
Doing Business As | IVIE HEALTH LLC |
Entity Type | Organization |
Authorized Contact | JOSEPHINE I OBOHOSAGIE Manager 754-210-4621 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-07-25 |
Last Update Date | 2022-07-25 |