NPI | 1285905638 |
---|---|
Doing Business As | MAGNOLIA HEALTH OF LOUISIANA |
Doing Business As | KWIK CLINIC |
Entity Type | Organization |
Authorized Contact | MELISSA DWORAK Owner 858-923-3609 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 016750) |
Enumeration Date | 2012-01-17 |
Last Update Date | 2024-12-11 |