| NPI | 1285454009 |
|---|---|
| Doing Business As | RADIENCE WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | DORIS UDOSEN President 903-343-7480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |