NPI | 1861760506 |
---|---|
Doing Business As | PEARL MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | IBISUNNI O UKEGBU Owner 469-453-2008 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2011-12-08 |
Last Update Date | 2012-03-06 |