NPI | 1174514095 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LUZIA-ULIN CERNY Nurse Practitioner 336-768-2980 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NC 900459) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2020-08-22 |