NPI | 1710738158 |
---|---|
Former Legal Business Name | HEALTHY TOEZ LLC |
Entity Type | Organization |
Authorized Contact | JANE COX Credentialing Specialist 949-664-2796 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |