NPI | 1164697504 |
---|---|
Doing Business As | ONE FAMILY BIRTH CENTER & WOMEN'S WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | SHAUNA B TIESZEN Administrator 907-250-1944 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: AK ONF02030000001) |
Enumeration Date | 2008-04-27 |
Last Update Date | 2008-04-27 |