NPI | 1720744881 |
---|---|
Former Legal Business Name | BONZA WELLNESS |
Entity Type | Organization |
Authorized Contact | SARAH BONZA Physician Founder 614-813-0764 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2021-11-12 |
Last Update Date | 2024-06-27 |