NPI | 1851176887 |
---|---|
Doing Business As | YOUR CARE DOWN THERE |
Entity Type | Organization |
Authorized Contact | JAMIE BOLDEN Provider/Owner 346-491-6839 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-08-28 |
Last Update Date | 2023-08-28 |