| NPI | 1629406996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE HESS Office Manager 276-935-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |