| NPI | 1528692134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL REITAN Owner 888-212-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |