| NPI | 1033989330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMIKA WALL Owner & Nurse Practitioner 662-874-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |