NPI | 1922870047 |
---|---|
Doing Business As | FLAMINGO MOJO |
Entity Type | Organization |
Authorized Contact | LORI HUDSON Owner 678-761-9479 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |