NPI | 1689317208 |
---|---|
Former Legal Business Name | JACQUELINE POWELL MD PC |
Entity Type | Organization |
Authorized Contact | JACQUELINE POWELL President 661-624-8560 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Enumeration Date | 2022-04-20 |
Last Update Date | 2025-01-23 |