Organization
MODERN HEALTH & WELLNESS LLC
Active
Organization
MODERN HEALTH & WELLNESS LLC
Active
Other names
Modern Health & Wellness LLC, Modern Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KETRINA E LEWIS NP (NURSE PRACTITIONER)
(469) 659-9494
Entity
Organization
Contact information
Practice address
1010 N BELT LINE RD STE 104, MESQUITE, TX 75149-1770
(469) 659-9494
Mailing address
3229 WILTSHIRE HORN AVE STE 104, MCKINNEY, TX 75071-2844
(702) 812-9803
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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