NPI | 1134765381 |
---|---|
Doing Business As | NIDO CLINIC |
Entity Type | Organization |
Authorized Contact | JULIA CLAIRE EDGCOMB Bureau Chief 831-796-1386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-11-22 |
Last Update Date | 2019-11-22 |