NPI | 1205521200 |
---|---|
Former Legal Business Name | MANNA HEALTH CARE PLLC |
Entity Type | Organization |
Authorized Contact | MARGARET NARUNA BADEJO Owner 682-252-4698 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-04-06 |
Last Update Date | 2023-04-06 |