| NPI | 1588103188 |
|---|---|
| Doing Business As | THE WELLNESS BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOBOSCO Vice President 856-552-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-03-09 |