Organization
INTEGRATED HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAUGHN GREEN (DIRECTOR)
(504) 237-3097
Entity
Organization
Contact information
Practice address
281 MARTIN LUTHER KING JR ST, INDEPENDENCE, LA 70443-2386
(985) 606-2424
(985) 606-2390
Mailing address
281 MARTIN LUTHER KING JR ST, INDEPENDENCE, LA 70443-2386
(985) 606-2424
(985) 606-2390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
11/02/2020
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