| NPI | 1548027790 |
|---|---|
| Doing Business As | EARTHSHINE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LOELLA HSU President 909-913-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |