NPI | 1659129161 |
---|---|
Other Name | JAR PRIMARY CARE AND WELLNESS |
Entity Type | Organization |
Authorized Contact | JOHN WESTLEY MAILEY Owner 313-310-6761 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse |
Enumeration Date | 2024-05-09 |
Last Update Date | 2024-05-09 |