| NPI | 1922696897 |
|---|---|
| Doing Business As | WELLNESS INTERVENTIONAL NEEDS & EDUCATION LLC |
| Entity Type | Organization |
| Authorized Contact | CASANDRA ELAINE ROY Owner/Provider 618-401-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-05-24 |