NPI | 1568346229 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKIE-JOE BRIDGET LINDO President/Fnp 302-509-3213 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |