| NPI | 1841741816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR GARCIA Owner 567-274-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 35127094) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |