| NPI | 1508615980 |
|---|---|
| Doing Business As | LIFESTYLE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHELLY HICE Owner 218-330-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |