Organization
IAOMAI WELLNESS CENTER, LLC
Active
Organization
IAOMAI WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL ISAAC LCP (OWNER)
(630) 936-8747
Entity
Organization
Contact information
Practice address
5252 OLDE TOWNE RD STE C, WILLIAMSBURG, VA 23188-1910
(630) 936-8747
Mailing address
PO BOX 6561, WILLIAMSBURG, VA 23188-5225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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