| NPI | 1922835529 |
|---|---|
| Doing Business As | SOW HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | QUINTA FONKWA Nurse Practitioner 469-352-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-11-07 |