NPI | 1366078420 |
---|---|
Former Legal Business Name | UNIVERSAL PRIMARY CARE & AESTHETICS |
Entity Type | Organization |
Authorized Contact | GUTEMBERGUE ARRUDA SANTOS Family Nurse Practitioner 843-557-9808 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-03-19 |
Last Update Date | 2021-03-15 |