| NPI | 1811445141 |
|---|---|
| Former Legal Business Name | OPTIMUM WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TRACY COREY CEO, Co Owner 206-763-2733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2021-06-04 |