NPI | 1619643483 |
---|---|
Doing Business As | MAGNOLIA HEALTH |
Entity Type | Organization |
Authorized Contact | BROOKE GOLWAS Owner & Operator 918-794-0701 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2021-08-20 |
Last Update Date | 2023-01-30 |