NPI | 1750969168 |
---|---|
Doing Business As | AYLETT FAMILY WELLNESS |
Entity Type | Organization |
Authorized Contact | STEVEN TUPPONCE Director 804-347-4109 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-03-30 |
Last Update Date | 2023-11-17 |