NPI | 1740688829 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE WILSON Owner 727-641-7847 |
Organization Subpart ? | No |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 3391562) |
Enumeration Date | 2014-12-05 |
Last Update Date | 2014-12-05 |