| NPI | 1649848037 |
|---|---|
| Doing Business As | MILLENNIUM TOTAL HEALTH& FITNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | AAISYA ANSARI Physician Owner 571-371-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |