| Rooted Health Hormones & Medspa Llc | |
|
1120 Hogan Ln Conway AR 72034-8119 | |
| (501) 261-0179 | |
| Not Available |
| Full Name | Rooted Health Hormones & Medspa Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1120 Hogan Ln, Conway, Arkansas |
| Authorized Official Name and Position | Ladonna Young (OWNER) |
| Authorized Official Contact | 5012610179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Health Hormones & Medspa Llc 1120 Hogan Ln Conway AR 72034-8119 Ph: (501) 261-0179 | Rooted Health Hormones & Medspa Llc 1120 Hogan Ln Conway AR 72034-8119 Ph: (501) 261-0179 |
| NPI Number | 1649006941 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649006941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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