NPI | 1588103782 |
---|---|
Doing Business As | MERAKI HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | STEPHANIE GAYLES LANE President/CEO 757-320-8619 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 128145) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-02-21 |