NPI | 1942958558 |
---|---|
Doing Business As | KAMISA & ASSOCIATES FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | BOBBIE SNOW MASENDA Owner 469-732-9781 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-03-13 |
Last Update Date | 2022-03-13 |