NPI | 1235632332 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH E TOKUNBOH Owner 316-871-7079 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 108220) |
Additional Taxonomies | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) |
163WW0000X Registered Nurse Wound Care (Licence: WI 6051104) | |
Enumeration Date | 2018-03-14 |
Last Update Date | 2019-11-26 |