| NPI | 1902554009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LIZ GONZALEZ Nurse Practitioner 508-926-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-07-11 |