NPI | 1730832221 |
---|---|
Other Name | INDYGO HEALTH AND WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | TERRY LAYMAN Owner 866-434-3255 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |