| 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 |