| NPI | 1700616190 |
|---|---|
| Doing Business As | CDA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KATIUSKA ALEXANDRA VESTMAN Owner 208-518-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |