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 |