| NPI | 1982326823 |
|---|---|
| Doing Business As | HARBOR'S EDGE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | HISHAM FAHIM Vice President Of Finance/Controlle 757-616-7952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |