NPI | 1245013432 |
---|---|
Entity Type | Organization |
Authorized Contact | KATELANN POWELL Owner 318-235-2875 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
Enumeration Date | 2023-08-14 |
Last Update Date | 2023-08-14 |