| NPI | 1407430259 |
|---|---|
| Doing Business As | ESSENTIAL HEALTH CARE FAMILY PRACTIC |
| Entity Type | Organization |
| Authorized Contact | SIMONE S HODGES Manager/Owner 122-593-9854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |