NPI | 1790416949 |
---|---|
Doing Business As | AVEO FUNCTIONAL WELLNESS |
Entity Type | Organization |
Authorized Contact | CHYENNE GIARNESE Manager 959-901-5583 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-06-20 |
Last Update Date | 2023-09-12 |