NPI | 1689188765 |
---|---|
Doing Business As | I AM HEALTH AND WELLNESS OF BELLEVILLE |
Entity Type | Organization |
Authorized Contact | DEODGE MONIQUE HILL CEO/ Owner 313-475-8896 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004307) |
Enumeration Date | 2017-11-28 |
Last Update Date | 2020-04-23 |