| NPI | 1700337524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNIQUE A DESIRE-BRISARD Family Nurse Practitioner 719-373-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY F333149) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |