NPI | 1528480563 |
---|---|
Doing Business As | LMA OSBORN FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MB08388600) |
Enumeration Date | 2014-01-10 |
Last Update Date | 2014-01-10 |