| NPI | 1457034159 |
|---|---|
| Doing Business As | ULTIMATE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JASON THOMAS GIFFI Owner/Operator 443-330-2042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |