| NPI | 1639782121 |
|---|---|
| Former Legal Business Name | VETERANS ADVANTAGE URGENT CARE, INC |
| Entity Type | Organization |
| Authorized Contact | NICOLE LATOSICA JENKINS President 314-696-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 213E00000X Podiatrist | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-08-24 |