| NPI | 1972259935 |
|---|---|
| Doing Business As | LYVING LIFE WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNYFER LYNN LIVINGSTON Ap RN 405-513-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |