| NPI | 1477204345 |
|---|---|
| Former Legal Business Name | HYDROFIX- IV & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | EMMERENCIA MORFAW Nurse Practitioner 124-053-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |