| 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 |