NPI | 1790371888 |
---|---|
Doing Business As | SUNNYLANE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | NOHEMY GARCIA Credentialing Administrator 405-682-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-12-14 |
Last Update Date | 2022-11-04 |