NPI | 1124512322 |
---|---|
Doing Business As | FULCRUM HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | SONYA DIANE FERGESON Office Manager And Co Owner 405-546-7888 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 72566) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2021-12-07 |