NPI | 1841532413 |
---|---|
Former Name | VERA LEE MEDLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QA0005X Clinic/Center Ambulatory Family Planning Facility (Licence: CA 561031) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2018-10-11 |