Organization
EPIWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGNOLIA ARIZA-NIETO (FOUNDER-CEO/ PI)
(607) 229-2780
Entity
Organization
Contact information
Practice address
108 ASTER LN APT 215, ITHACA, NY 14850-1372
(607) 229-2780
Mailing address
108 ASTER LN APT 215, ITHACA, NY 14850-1372
(607) 229-2780
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
02/20/2020
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