| NPI | 1629687926 |
|---|---|
| Doing Business As | GOOD LIFE PRIMARY AND WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | KAREN BABCOCK Billing Manager 702-458-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |