| NPI | 1508500133 |
|---|---|
| Doing Business As | SUCASA HEALTH |
| Entity Type | Organization |
| Authorized Contact | JONATHAN MICHAEL ANSELL Managing Member 877-655-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |