NPI | 1659056984 |
---|---|
Doing Business As | PREMIER CLINIC |
Doing Business As | PREMIER CLINIC PLLC |
Entity Type | Organization |
Authorized Contact | KARINA YVETTE MENDOZA Medical Provider/Owner 915-892-1531 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-15 |