Lifespan Wellness LLC
NPI #1568949097 in Ocean Springs, Mississippi
Provider Information
- NPI Number
- 1568949097
- Entity Type
- Organization
- Organization Name
- Lifespan Wellness LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jul 27, 2018
- Last Updated
- Jul 27, 2018
Practice Location
- Address
- 101 ROUSELLE PL STE A
- City
- Ocean Springs
- State
- Mississippi
- ZIP Code
- 39564-3074
- Phone
- (228) 327-8210
Authorized Official
- Name
- RENATA HOLLIMAN, FNP-C
- Title
- MANAGER
- Phone
- (251) 422-1979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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