NPI | 1669915799 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENIA MOSLEY Student 314-602-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 713834) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |