NPI | 1477229789 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDE C EMELUMBA Owner Of Entity 551-247-8105 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-08-17 |
Last Update Date | 2022-03-08 |