NPI | 1447876289 |
---|---|
Doing Business As | THE HEADACHE CLINIC |
Entity Type | Organization |
Authorized Contact | ASHLEY MASON Office Manager 318-664-1817 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-06-17 |
Last Update Date | 2021-06-28 |