NPI | 1174805808 |
---|---|
Entity Type | Organization |
Authorized Contact | MISTI BALZER Owner/Director/Midwife 904-460-2771 |
Organization Subpart ? | No |
Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: FL 338) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2012-06-14 |