NPI | 1467137463 |
---|---|
Former Legal Business Name | ACE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MARGARET MARDI KAMARA Director 757-230-1830 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-06-16 |
Last Update Date | 2023-11-01 |