NPI | 1922757178 |
---|---|
Doing Business As | WOUND CARE SPECIALISTS, LLC |
Entity Type | Organization |
Authorized Contact | JONATHAN BRENES Member 203-598-6045 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
208600000X Surgery | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2022-03-23 |
Last Update Date | 2022-03-23 |