Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gastroenterology |
163WG0100X | |||
Health Service |
261QH0100X |
| NPI Number | 1316895865 |
| LBN Legal business name | OLIVE BRANCH HEALTH AND WELLNESS LLC |
| Authorized official | PAULETTE VITAL-HERNE - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/19/2026 |
| Last updated | 03/19/2026 - About 3 months ago |
| Identifiers | n/a |
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