| NPI | 1508537606 |
|---|---|
| Doing Business As | WELLNESS FROM THE ROOTS |
| Former Legal Business Name | KEEGAN JAE ZIEMBA, PLLC |
| Entity Type | Organization |
| Authorized Contact | KEEGAN JAE ZIEMBA Owner 757-630-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |