| NPI | 1760831770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CONLEY Owner 888-322-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 521694) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2017-01-25 |