NPI | 1073257283 |
---|---|
Entity Type | Organization |
Authorized Contact | EKAETE OYEKA CEO 682-234-0319 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-04-25 |
Last Update Date | 2024-05-22 |