NPI | 1639352784 |
---|---|
Doing Business As | THE KIDZ CARE KLINIC |
Entity Type | Organization |
Authorized Contact | MICHELLE JEANETTE GIBSON Owner 601-364-2726 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 15752) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |