| NPI | 1770182586 |
|---|---|
| Doing Business As | NUBER-T MEN'S WELLNESS LEAGUE |
| Entity Type | Organization |
| Authorized Contact | DESMOND MASON CEO 404-807-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |