NPI | 1750980165 |
---|---|
Doing Business As | LUV KIDS PEDIATRIC |
Entity Type | Organization |
Authorized Contact | ROSE MARIE CAMPBELL Owner, Provider 496-409-3030 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |