NPI | 1962162917 |
---|---|
Doing Business As | HERITAGE WELLNESS |
Entity Type | Organization |
Authorized Contact | SONIA CHOUTE EDOUARD Ap RN 786-333-7017 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-12-17 |
Last Update Date | 2021-12-17 |