| NPI | 1487300455 |
|---|---|
| Doing Business As | SNM MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELSA S OLAN Owner 201-310-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |