NPI | 1619046950 |
---|---|
Doing Business As | CLOVIS FAMILY HEALTHCARE CENTER LLC |
Other Name | O'HARE WELLNESS LLC |
Entity Type | Organization |
Authorized Contact | BLAKE O'HARE Owner 575-760-1365 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-08 |
Last Update Date | 2022-06-26 |