NPI | 1689934085 |
---|---|
Doing Business As | EMPLOYEE HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CLARK P. CHRISTIANSON President 251-633-1660 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-071676) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |