NPI | 1245559145 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNIE REBECCA GIBSON Family Nurse Practitioner 267-979-0995 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD R164959) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2010-05-18 |