| NPI | 1144761008 |
|---|---|
| Former Name | ERNESTO ARTEAGA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 9244951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9244951) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2017-03-12 |