NPI | 1780490524 |
---|---|
Doing Business As | ON THE GO WELLNESS, LLC |
Entity Type | Organization |
Authorized Contact | MARITZA ROMERO Owner 281-995-6073 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2024-12-06 |
Last Update Date | 2024-12-06 |