Organization
FLOURISH INTEGRATIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH HUBBARD FNP (OWNER, NURSE PRACTITIONER)
(417) 812-8800
Entity
Organization
Contact information
Practice address
133 S JEFFERSON ST, AVA, MO 65608-5530
(417) 812-8800
Mailing address
133 S JEFFERSON ST, AVA, MO 65608-5530
(417) 812-8800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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