NPI | 1740758515 |
---|---|
Doing Business As | GHENTMD INTEGRATIVE HEALTH AND WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | ANTHONY ASUELIMEN AGHENTA President 480-935-8855 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
261QP2300X Clinic/Center Primary Care | |
Enumeration Date | 2018-11-09 |
Last Update Date | 2021-05-15 |