NPI | 1336463660 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAY J HUBBLE Nurse Practitioner 985-234-9450 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05824) |
Enumeration Date | 2010-03-15 |
Last Update Date | 2010-03-15 |