Organization
INTENTIONAL WELLNESS MEDSPA LLC
Active
Other names
Intentional Homecare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LA-KEISHA RENEE MILORD (CEO)
(781) 552-8438
Entity
Organization
Contact information
Practice address
99 CAMBRIDGE ST, BURLINGTON, MA 01803-4115
(781) 552-8438
Mailing address
3 ANGELA CIR, BURLINGTON, MA 01803-3102
(781) 552-8438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
02/09/2025
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