| NPI | 1760145122 |
|---|---|
| Doing Business As | INDEPENDENTLY HEALTHY WELLNESS & COACHING LLC |
| Entity Type | Organization |
| Authorized Contact | ANNA KOLOMITSEVA CEO And Owner 678-787-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-22 |