NPI | 1477767549 |
---|---|
Doing Business As | DIABETES WELLNESS AND HEALTHCARE |
Entity Type | Organization |
Authorized Contact | KAREN EASTRIDGE Owner Practioner 502-415-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: KY 3658P) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-11-01 |