NPI | 1003689860 |
---|---|
Former Legal Business Name | ASSURANCE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | OLUWATOSIN VICTORIA ALONGE Manager/CEO 937-312-5835 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-11-03 |
Last Update Date | 2024-04-18 |