| NPI | 1518803238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMELMENIQUE UNKIROSHAY HOY Managing Member 662-503-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-25 |
| Last Update Date | 2026-04-25 |