| NPI | 1891251898 |
|---|---|
| Former Legal Business Name | TOTAL MALE WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY BUDA Owner 402-350-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2020-02-18 |