NPI | 1467341669 |
---|---|
Doing Business As | PLATINUM MEDICAL CLUB |
Entity Type | Organization |
Authorized Contact | KATHRINE HARDY Owner 907-600-5272 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-07-01 |
Last Update Date | 2025-07-01 |