Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1053977041 |
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| LBN Legal business name | ENM WELLNESS & MORE | ||||
| Authorized official | ERICA MAHONE - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/15/2019 | ||||
| Last updated | 11/06/2019 - About 7 years ago | ||||
| Identifiers |
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