NPI | 1649717786 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDRA C JARRELL President 937-219-5547 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP08619) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2017-01-27 |