| NPI | 1659528222 |
|---|---|
| Doing Business As | YOURCARE CLINIC - SOUTH PENN |
| Entity Type | Organization |
| Authorized Contact | KATY S BAIN Client Account Rep 405-231-3817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-09-08 |