Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1861216699 |
| LBN Legal business name | JOYFULLY HOLISTIC |
| Authorized official | JOYCE ALLEN - (AUTHORIZED OFFICIAL, OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/08/2024 |
| Last updated | 11/08/2024 - More than a year ago |
| Identifiers | n/a |
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