JOMON WELLNESS LLC

STANFORD, KY
NPI1922853860
Entity TypeOrganization
Authorized ContactTRACY BOLLER
Owner/Np
859-287-2949
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2024-04-23
Last Update Date2025-11-20
Business Address
JOMON WELLNESS LLC
132 FRONTIER BLVD STE 103
STANFORD, KY 40484-6516
Phone number: 859-287-2949
Mailing Address
JOMON WELLNESS LLC
132 FRONTIER BLVD STE 103
STANFORD, KY 40484-6516
Phone number: 859-287-2949