NPI | 1699422881 |
---|---|
Entity Type | Organization |
Authorized Contact | ALI D. KANJI Owner 866-667-2460 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-03-07 |
Last Update Date | 2022-03-07 |