NPI | 1063742435 |
---|---|
Doing Business As | MY HEALTH STOP |
Entity Type | Organization |
Authorized Contact | IVORIQUE' ORENNA HAMBRICK CEO/Medical Director 619-216-0842 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 20A9515) |
Enumeration Date | 2010-01-07 |
Last Update Date | 2010-01-07 |