| NPI | 1508583022 |
|---|---|
| Doing Business As | PERSONAL CARE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | VERONA ROBERTS Owner 570-616-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-09-16 |