Fulfilling Life Pllc
NPI #1922796408 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1922796408
- Entity Type
- Organization
- Organization Name
- Fulfilling Life Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 24, 2023
- Last Updated
- Apr 24, 2023
Practice Location
- Address
- 3 CLUB CENTRE CT STE B1
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3519
- Phone
- (618) 699-4402
Authorized Official
- Name
- DI'ARA WOODS, PA-C, CLC
- Title
- CEO
- Phone
- (314) 749-8906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Specialist |
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