| NPI | 1609692540 |
|---|---|
| Former Legal Business Name | FIRST N MIND CARE LLC |
| Entity Type | Organization |
| Authorized Contact | JAZZAMIN CLARK Sole Mbr 702-945-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |