NPI | 1497006407 |
---|---|
Doing Business As | LIVING WELL BODY |
Entity Type | Organization |
Authorized Contact | MAX HAMMOND Director 859-410-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2012-10-01 |
Last Update Date | 2012-10-01 |