| NPI | 1932401593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN DEBORRAH UKPONG Owner 225-505-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: LA 110507) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |