NPI | 1215450697 |
---|---|
Former Legal Business Name | CHIDI FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | EBERE DORIS UGORJI A RN P 509-844-6550 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP60631861) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2017-07-18 |