NPI | 1679352942 |
---|---|
Other Name | SHREVEPORT VA MOBILE CLINIC |
Entity Type | Organization |
Authorized Contact | ERIN DENISE POTTER Npi Team Lead 202-382-2579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QV0200X Clinic/Center, VA |
Enumeration Date | 2023-09-26 |
Last Update Date | 2023-09-27 |