| NPI | 1811774243 |
|---|---|
| Former Legal Business Name | THE REMEDY HYDRATION & WELLNESS, PLLC |
| Entity Type | Organization |
| Authorized Contact | TAMIQUA JACKSON LUCKEY Owner 919-410-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-12-02 |