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 |