NPI | 1790507366 |
---|---|
Other Name | SERENE INFUSION AND WELLNESS LOUNGE PLCC |
Entity Type | Organization |
Authorized Contact | YEWANDE BANIRE CEO 630-402-6627 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-10-25 |
Last Update Date | 2024-10-25 |