| NPI | 1730568924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUNIR MOUSSA Owner 614-592-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.09159-NP) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |