| NPI | 1306369277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOCK OMAN Owner 515-277-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: IA 00632) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |