| NPI | 1619513173 |
|---|---|
| Doing Business As | PREMISE HEALTH NATIONAL MEDICAL |
| Entity Type | Organization |
| Authorized Contact | PETER J VASQUEZ President 844-407-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-02-10 |