| NPI | 1881820892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY P AGUAYO Managing Member 615-810-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13099) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2010-03-21 |