| NPI | 1144663337 |
|---|---|
| Former Legal Business Name | 3 D ENTERPRISES DBA WOMENS CENTER OF THE PENINSULA |
| Entity Type | Organization |
| Authorized Contact | JO LYNN HAWTHORNE President/Owner 907-260-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 7311) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2015-04-02 |