NPI | 1912776998 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE SANDERS Credentialing Manager 502-630-2036 |
Organization Subpart ? | No |
Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
Enumeration Date | 2024-01-01 |
Last Update Date | 2024-01-01 |