Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Holistic |
364SH1100X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1528810397 |
| LBN Legal business name | HOLISTIC CLINIC LLC |
| Authorized official | NOEMI AMADOR - (MANAGING MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/03/2024 |
| Last updated | 04/03/2024 - About 2 years ago |
| Identifiers | n/a |
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HOLISTIC CLINIC LLC
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