MAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC

ST AUGUSTINE, FL
NPI1730952581
Entity TypeOrganization
Authorized ContactPATRICIA A GILLIANO
Owner
904-377-1196
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-11-03
Last Update Date2023-11-03
Business Address
MAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC
4320 PALM ST
ST AUGUSTINE, FL 32084-7303
Phone number: 904-377-1196
Mailing Address
MAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC
4320 PALM ST
ST AUGUSTINE, FL 32084-7303
Phone number: