NPI | 1356742654 |
---|---|
Doing Business As | MOBILE NP DOC |
Entity Type | Organization |
Authorized Contact | JOSEPH NVAYO NDONGWA Founder And President 585-957-5070 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 334735) |
Enumeration Date | 2014-09-06 |
Last Update Date | 2014-09-06 |