Intentional Wellness Medspa LLC
NPI #1154088052 in Burlington, Massachusetts
Provider Information
- NPI Number
- 1154088052
- Entity Type
- Organization
- Organization Name
- Intentional Wellness Medspa LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 26, 2021
- Last Updated
- Feb 9, 2025
Practice Location
- Address
- 99 CAMBRIDGE ST
- City
- Burlington
- State
- Massachusetts
- ZIP Code
- 01803-4115
- Phone
- (781) 552-8438
Authorized Official
- Name
- LA-KEISHA RENEE MILORD
- Title
- CEO
- Phone
- (781) 552-8438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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