Organization
ULTIMATE HYDRATION AND WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIANA NKEA ATEM DNP (PRESIDENT/OWNER)
(214) 460-4669
Entity
Organization
Contact information
Practice address
5847 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0448
(214) 460-4669
Mailing address
5847 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0448
(214) 460-4669
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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