NPI | 1801501689 |
---|---|
Doing Business As | SUNRISE MOUNTAIN FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JOAN DAWN GALANG Np Owner 725-204-1008 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2023-01-17 |
Last Update Date | 2023-01-17 |