| NPI | 1285290577 |
|---|---|
| Former Legal Business Name | JODELL C SAMS CRNFA, LLC |
| Entity Type | Organization |
| Authorized Contact | JODELL C WARNER Owner 719-240-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |