Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1558829614 |
| LBN Legal business name | BEST OF ME MEDICAL WELLNESS CENTER LLC |
| Authorized official | MARIA MEDEROS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/07/2019 |
| Last updated | 11/06/2019 - About 7 years ago |
| Identifiers | n/a |
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