| NPI | 1902503451 |
|---|---|
| Other Name | LUNA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TAYLOR BEAUREGARD KELAMIS Owner, Np 571-271-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |