Organization
LOTUS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KASIBANTE (CEO)
(301) 583-6813
Entity
Organization
Contact information
Practice address
3877 N 7TH ST STE 150, PHOENIX, AZ 85014-5086
(301) 583-6813
Mailing address
3877 N 7TH ST STE 150, PHOENIX, AZ 85014-5086
(301) 583-6813
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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