NPI 1104175207

A Life Aware Yoga and Wellness

Organisation Naturopath Detrot, MI

Practice location

Address: 18245 Cherrylawn, Detrot, MI 48221-2013
Phone: (404) 316-8329

Authorised official

Name: Dia Johnson
Title: Yoga Therapist
Phone: (404) 316-8329

Registered specialties

Naturopath Primary

Other Service Providers Taxonomy 175F00000X

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Registry record

NPI: 1104175207
Entity type: Organization
NPI issued: 5 Sep 2012
Record last updated: 5 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.