NPI | 1710500962 |
---|---|
Doing Business As | OPTIMAL HEALTH MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | LILIAN L LAIMO Owner 623-910-3171 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-05-22 |
Last Update Date | 2020-12-18 |