| NPI | 1407522113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY D JOHNSON Owner 501-298-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2021-08-22 |