| NPI | 1952492316 |
|---|---|
| Former Legal Business Name | STEPHEN C. PUSH MEMORIAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSE ENRIQUE LEFEBRE Technician 252-335-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-01-16 |