| NPI | 1366282360 |
|---|---|
| Doing Business As | PREMIER MOBILE WOUND |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DALTON Co Owner 817-368-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-07-31 |