| NPI | 1760201693 |
|---|---|
| Doing Business As | INTEGRATIVE DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MONICA CRAIG Owner 386-247-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |