| NPI | 1326775701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M VACIANNA Family Nurse Practitioner/Owner 210-201-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-10-17 |