Organization
LOVE THE TREE OF LIFE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN I. JOHNSON-MARTELL DNP, FNP-D DNP, FNP-C (PRESIDENT, FOUNDER, CLINICAN)
(757) 915-5781
Entity
Organization
Contact information
Practice address
2016 25TH ST, NEWPORT NEWS, VA 23607-5512
(757) 726-7135
Mailing address
2016 25TH ST, NEWPORT NEWS, VA 23607-5512
(757) 915-5781
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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