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 |