NPI | 1871236273 |
---|---|
Former Legal Business Name | VITAMINISE WELLNEST CLINIC |
Entity Type | Organization |
Authorized Contact | ELIZABETH HENSON CEO 689-310-2613 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-04-14 |
Last Update Date | 2025-07-03 |