Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1871201095 |
| LBN Legal business name | AGELESS U INC |
| Authorized official | SHEEBA MATHAI - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/07/2022 |
| Last updated | 11/07/2022 - About 4 years ago |
| Identifiers | n/a |