NPI | 1306424502 |
---|---|
Doing Business As | CORDIAL HEALTHCARE PROVIDERS |
Entity Type | Organization |
Authorized Contact | DERICK QUE Manager 747-238-2544 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-03-30 |
Last Update Date | 2021-05-24 |