| NPI | 1003398835 |
|---|---|
| Doing Business As | NESCO FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GEORGE VON MOCK CEO 641-648-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-11-25 |