NPI | 1932690658 |
---|---|
Doing Business As | WHOLE FAMILY WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | TYSHEENA LANEE JONES Nurse Practitioner/Owner 757-344-0822 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174111) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2020-01-22 |