Gentle Roots LLC

NPI #1407348808 in Sanford, Florida

Provider Information

NPI Number
1407348808
Entity Type
Organization
Organization Name
Gentle Roots LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
May 31, 2018
Last Updated
May 31, 2018

Practice Location

Address
111 E 1ST ST
State
Florida
ZIP Code
32771-1301
Phone
(407) 803-1890

Authorized Official

Name
MS. KIRA RIO BOGUSLAW, D.O.M.
Title
DOCTOR OF ORIENTAL MEDICINE
Phone
(407) 803-1890

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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