| NPI | 1093071185 |
|---|---|
| Doing Business As | ADULT IMMUNIZATION AND TRAVEL CLINIC |
| Entity Type | Organization |
| Authorized Contact | NIKKIE HO Practice Manager 628-754-5531 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-08-14 |