NPI | 1821707944 |
---|---|
Doing Business As | A CLEAN START URGENT CARE |
Entity Type | Organization |
Authorized Contact | ANIKKA STOKES Co Owner 410-205-7698 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2022-11-17 |
Last Update Date | 2022-12-01 |