| NPI | 1588379580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LYN LATTIMER Owner/Nurse Practitioner 804-554-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |