| NPI | 1609631399 |
|---|---|
| Doing Business As | LAELIA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAYNA MARIE RICHARDS Owner 928-350-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-05-20 |