| NPI | 1851082408 |
|---|---|
| Doing Business As | RENEW 122 HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHONA RAE ERNST Owner/Nurse Practitioner 563-508-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-02-15 |