NPI | 1871894972 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA H CLAYMAN President 904-252-5265 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9260038) |
Enumeration Date | 2010-11-06 |
Last Update Date | 2010-11-06 |