NPI | 1750043410 |
---|---|
Doing Business As | AMAZING HEALTH LLC |
Entity Type | Organization |
Authorized Contact | VICTOR T DAVIS Co Owner 952-288-9921 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-10-11 |
Last Update Date | 2021-12-20 |