| NPI | 1154706489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SONNIER RN Fa 910-580-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN170765) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |