| NPI | 1013419282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI J KEENEY RN Fa 904-382-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL RN9166964) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |