NPI | 1033925029 |
---|---|
Doing Business As | FULL ACCESS CARE |
Entity Type | Organization |
Authorized Contact | AMANDA SPEZIA Business Owner 217-213-6241 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-12-05 |
Last Update Date | 2024-12-05 |