| NPI | 1154042265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE ALFERINK Owner 762-220-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-02-21 |