NPI | 1033650650 |
---|---|
Doing Business As | EARTH HEALTHCARE |
Entity Type | Organization |
Authorized Contact | ALLEN LAWRENCE Medical Director 424-333-0774 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A25501) |
Enumeration Date | 2017-03-15 |
Last Update Date | 2017-04-17 |