| NPI | 1861193054 |
|---|---|
| Doing Business As | NEW AGE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KERN Owner 386-451-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2025-01-06 |