| NPI | 1851998710 |
|---|---|
| Doing Business As | SUNRISE MOBILE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MAGNO C SANTOS Owner 208-538-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-12-16 |