| 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 |