Organization
MEDICAL LIFESTYLE AND WELLNESS SERVICES
Active
Organization
MEDICAL LIFESTYLE AND WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHUOMA OTTIH DNP (DIRECTOR)
(856) 313-6384
Entity
Organization
Contact information
Practice address
244 AMAN AVE, CLEMENTON, NJ 08021-2502
(856) 313-6384
Mailing address
244 AMAN AVE, CLEMENTON, NJ 08021-2502
(856) 313-6384
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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