| NPI | 1639301732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADENIKE A TINUBU Owner / Operator / Physician 337-678-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 202981) |
| Enumeration Date | 2009-08-23 |
| Last Update Date | 2011-03-18 |