| NPI | 1568021772 |
|---|---|
| Other Name | LA AMISTAD MOBILE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JASON BROWN Chief Executive Officer 208-899-9631 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-10-23 |