Earth Remedy Optimal Wellness LLC
NPI #1043092257 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1043092257
- Entity Type
- Organization
- Organization Name
- Earth Remedy Optimal Wellness LLC
- Primary Specialty
- Health & Wellness Coach
- Enumeration Date
- Oct 23, 2023
- Last Updated
- Oct 23, 2023
Practice Location
- Address
- 417 GREENLEE RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-7064
- Phone
- (423) 302-0205
Authorized Official
- Name
- UBUNIBI-AFIA AGBENYAGA SHORT, DIVINE
- Title
- OWNER
- Phone
- (423) 880-3621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Health & Wellness Coach |
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