| NPI | 1518412238 |
|---|---|
| Doing Business As | WISE WOMEN |
| Entity Type | Organization |
| Authorized Contact | INGRID A CARLSON President 904-395-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME112115) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |