NPI | 1134861818 |
---|---|
Doing Business As | SKIN REHAB |
Entity Type | Organization |
Authorized Contact | AMY LYNN SUDA Owner 701-379-0140 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-04-12 |
Last Update Date | 2023-07-13 |