NPI | 1730885815 |
---|---|
Doing Business As | MOTHERROOT INTEGRATED WELLNESS |
Entity Type | Organization |
Authorized Contact | CHAD BROWN Chad Brown Pa C 541-512-6986 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X |
Enumeration Date | 2023-02-01 |
Last Update Date | 2023-02-01 |