Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1487280350 |
| LBN Legal business name | BEAYOUTIFUL HEALTH AND WELLNESS CENTER LLC |
| Authorized official | MARIEL REID - (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/23/2020 |
| Last updated | 08/08/2023 - About 3 years ago |
| Identifiers | n/a |
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