NPI | 1922378017 |
---|---|
Former Legal Business Name | WISDOM WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ASHLEY HERRIN Owner/President 954-530-0125 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: FL 2452) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2017-03-07 |