NPI | 1740775212 |
---|---|
Doing Business As | WESTSIDE CLINIC |
Entity Type | Organization |
Authorized Contact | LINDA CARMEL JUDAH Executive Director 816-344-5201 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2018-06-27 |
Last Update Date | 2022-07-27 |