| NPI | 1679258834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEERAWONG KASIOLARN Naturopathic Physician 571-207-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |