| NPI | 1528559895 |
|---|---|
| Doing Business As | GGPUC LLC |
| Entity Type | Organization |
| Authorized Contact | VINCENT AKINOLA Owner 317-332-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |