| NPI | 1528428299 |
|---|---|
| Doing Business As | PREMIER WELLNESS CARE |
| Entity Type | Organization |
| Authorized Contact | JACQUE SHADLE CEO 225-445-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-06-01 |