NPI | 1336373240 |
---|---|
Doing Business As | URGENT CARE -- LONG BEACH |
Entity Type | Organization |
Authorized Contact | WANDA F. HENSON Executive Director 228-864-0622 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R518328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R862256) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2009-05-06 |