NPI | 1972338648 |
---|---|
Entity Type | Organization |
Authorized Contact | KOJO XI SHABAZZ Aboriginal Naturopath Doctor 580-475-1399 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-09-03 |
Last Update Date | 2024-09-03 |