| NPI | 1083938815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J LEONE Owner 541-962-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 079043011N3) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |