NPI | 1700270436 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE MCCLUNG Office Manager 304-872-7063 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: WV 40555) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2015-03-19 |