| NPI | 1942928320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN JOSPEH Principle 346-477-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |