| NPI | 1154543528 |
|---|---|
| Other Name | HEALTHY KIDS CLINIC AT PASS ROAD ELEMENTARY |
| Entity Type | Organization |
| Authorized Contact | STACEY WALDROP School Nurse 228-865-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: MS R772068) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |