NPI | 1548466444 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL YOUNG President 870-642-4035 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01914) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-08-22 |