| NPI | 1578447694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BAYLAN Owner 102-609-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |