NPI | 1659137073 |
---|---|
Doing Business As | CLINIC IV DRIP & BOTOX COMPANY |
Entity Type | Organization |
Authorized Contact | MIGUEL SUAREZ PORTO Fnp 831-793-7158 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-02-23 |
Last Update Date | 2024-02-23 |