NPI | 1093358467 |
---|---|
Entity Type | Organization |
Authorized Contact | JAUVAUGHN RISER Owner 337-258-0958 |
Organization Subpart ? | No |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
Enumeration Date | 2019-10-18 |
Last Update Date | 2019-10-18 |