NPI | 1508503152 |
---|---|
Doing Business As | RECLAIM WELLNESS |
Entity Type | Organization |
Authorized Contact | TRACYE FOWLER Provider Owner 405-819-5884 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-05-16 |
Last Update Date | 2022-09-06 |