| NPI | 1750135216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DEDON Owner And Nurse Practitioner 774-227-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |