| NPI | 1699488239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA DIANN CLIFFORD Advanced Practice Registered Nurse 740-879-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |