| NPI | 1295311207 |
|---|---|
| Other Name | SUCCOR PRIMARY CARE, P.C |
| Entity Type | Organization |
| Authorized Contact | LELIA JANICE MAGOBA President 781-358-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2022-03-16 |