NPI | 1801608641 |
---|---|
Former Legal Business Name | LOVING HEART CLINIC LLC |
Doing Business As | LOVING HEART CLINIC LLC |
Entity Type | Organization |
Authorized Contact | JUNIOR GERMEILLE Authorized Official 878-228-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-01-20 |