NPI | 1821734849 |
---|---|
Doing Business As | BOLD N GAMS HEALTH WELLNESS |
Entity Type | Organization |
Authorized Contact | JACQUELINE LORRAINE GRIFFIN Director/CEO 804-616-1304 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-05-11 |
Last Update Date | 2022-05-11 |