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 |