| NPI | 1720523541 |
|---|---|
| Doing Business As | RESTORATIVE WELLNESS , LLC |
| Entity Type | Organization |
| Authorized Contact | SANTA J CRISALL President 201-400-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ NNO71590) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH NNO71590) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2023-11-19 |