Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Massage Therapist |
225700000X |
| NPI # | 1194401034 |
| LBN Legal business name | WOMEN'S WELLNESS CENTER, LLC |
| Authorized official | SHERRI GREEN - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/26/2023 |
| Last updated | 06/26/2023 - About 3 years ago |
| Identifiers | n/a |
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