| NPI | 1972068070 |
|---|---|
| Doing Business As | LOTUS HOLISTIC WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MISTY M MOLINA Owner/Provider 253-376-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Additional Taxonomies | 176B00000X Midwife |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |