| NPI | 1598204125 |
|---|---|
| Doing Business As | A NEW CREATION CLINIC AND MEDI-SPA |
| Entity Type | Organization |
| Authorized Contact | CHERYL LOUISE ABRAHAM Provider 520-293-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-02-21 |