| NPI | 1770184293 |
|---|---|
| Doing Business As | 99 CLINIC |
| Entity Type | Organization |
| Authorized Contact | GINA DAYE Ap RN 754-444-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2023-04-15 |