NPI | 1639517626 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE MCQUAY KLEIN Owner 865-406-1264 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005898) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2013-06-12 |